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例1,女,9岁半,因无痛性血尿半月入院,血尿前三天有咽隐痛,无发热、外伤史、浮肿。查体:除扁桃体Ⅰ°肿大外,余未见异常。肉眼血尿,镜检RBC(+++),蛋白(+),抗“O”,CO_2CP、肝功正常,HBsAg(一),BUN9.99mmol/L,B超示双肾实质性弥漫性病变,腹部平片未见结石,肾CT检查未见占位性病变,后行肾穿活检免疫荧光检查,报告为肾系膜上广泛IgA沉积,按IgA肾病抗感染、止血、抗凝等治疗,血尿(+)出院。
Example 1, female, 9 years and a half, due to painless hematuria half-hospital, hematuria three days before the pharyngodynia, no fever, history of trauma, edema. Physical examination: except tonsils I ° enlargement, I no abnormalities. Gross hematuria, microscopic examination of RBC (+++), protein (+), anti-O, CO_2CP, normal liver function, HBsAg (a), BUN9.99mmol / L, B ultrasound showed substantial diffuse renal disease, Abdominal plain film without stones, kidney CT examination showed no space-occupying lesions, renal biopsy after immunofluorescence, reported extensive mesangial deposition of IgA, anti-IgA nephropathy, bleeding, anticoagulation and other treatment, hematuria (+) Discharged.