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病例摘要患儿男,10岁。因反复水肿、蛋白尿、血尿8年,发热、少尿及无尿7天入院。8年前(2岁)曾患感冒,10天后出现肉眼血尿及颜面水肿,血压120/80mmHg,尿蛋白++,尿红细胞+++。诊断为急性肾炎。对症治疗一个月好转。此后每于感冒时出现肉眼血尿、面部水肿、蛋白尿加重。入院时查体跟睑及双下肢水肿,血压120/80mmHg。尿蛋白++++,24小时尿蛋白3.6～3.75g,尿红细胞满视野。末梢血常规正常,血浆白蛋白13.3g/L,胆固醇10.14～11.83mmol/L(390～455mg/dL),非蛋白氮16.42～19.99mmol/L(23～28mg/dL),血肌酐(Scr)
Case summary Children with male, 10 years old. Due to repeated edema, proteinuria, hematuria 8 years, fever, oliguria and anuria 7 days admission. 8 years ago (2 years old) had a cold, 10 days after the gross hematuria and facial edema, blood pressure 120 / 80mmHg, urinary protein ++, urinary red blood cells +++. Diagnosis of acute nephritis. Symptomatic treatment improved a month. Since then there is a gross hematuria cold, facial edema, proteinuria worse. Physical examination with eyelid and lower extremity edema on admission, blood pressure 120 / 80mmHg. Urine protein ++++, urine protein 3.6 ~ 3.75g 24 hours, full of urine red blood cells. Peripheral blood was normal, plasma albumin 13.3g / L, cholesterol 10.14 ~ 11.83mmol / L (390 ~ 455mg / dL), nonprotein nitrogen 16.42 ~ 19.99mmol / L (23 ~ 28mg / dL), serum creatinine (Scr)