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急性肾炎的某些病例尿无明显异常改变或很轻微的改变,仅有浮肿、高血压、心力衰竭等肾外症状者称肾外症状性肾炎。本型肾炎的发病率虽低,但易误诊或漏诊。现将我们遇到的2例,报告如下。例1男性,9岁。因全身浮肿、尿少1周来诊。患儿于1周前发现面部浮肿,逐渐延及全身,尿量减少,伴有头晕、头痛、上腹部胀痛、食欲减退、恶心欲吐等症状,无血尿、发热、咳嗽等。发病前2周唇周有少许脓性疱疹,未经特殊治疗。体检;
In some cases of acute nephritis urinary changes were not significantly abnormal or very slight changes, only edema, hypertension, heart failure and other extra-renal symptoms such as extra-renal symptoms nephritis. The incidence of nephritis is low, but misdiagnosis or missed diagnosis. Now we encounter two cases, the report is as follows. Example 1 male, 9 years old. Due to systemic edema, less urine for 1 week diagnosis. Children with facial edema found 1 week ago, gradually extended to the body, decreased urine output, accompanied by dizziness, headache, abdominal pain, loss of appetite, nausea and other symptoms, no hematuria, fever, cough and so on. 2 weeks before the onset of lip weeks there is a little purulent herpes, without special treatment. Physical examination;