1　病例摘要患儿 ,男 ,9岁 ,学生。因腹胀、乏力 1月余 ,面部水肿 3天于 2 0 0 0年 11月 2 0日入院。 1个月前患儿无明显诱因地出现腹胀、乏力、气促 ,偶有轻咳 ,无气喘及咳痰 ,不发热。 3天前患儿出现面部水肿 ,腹胀乏力加重 ,小便正常。平素无低热盗汗史 ,家族中无肝炎及结核 1 case summary Children, male, 9 years old, student. Due to abdominal distension, fatigue in January, facial edema 3 days in 2000 November 20 admission. 1 month ago, no obvious incentive to children with bloating, fatigue, shortness of breath, occasional light cough, no asthma and sputum, no fever. 3 days ago, children with facial edema, abdominal distension increased fatigue, normal urine. Usually no history of low heat sweat, no hepatitis and tuberculosis in the family