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男,12岁,因双眼睑浮肿十余天,咳嗽1周入院.患儿起病时持续发热3天,热退后出现眼睑浮肿、腰酸、乏力,但无尿频、尿急.查尿常规异常,按“急性肾炎”治疗后尿常规转(一),唯双睑仍浮肿.近周伴干咳、纳差,但无腹痛、腹泻.查体:T36.7℃,P84次/min,BP12/8kPa(90/60mmHg).一般情况好,无皮疹、出血点,心肺无异常,肝肋下1cm,质中等,有压痛,脾未触及,肾区无叩击痛,无下肢浮肿,神经系统(一).WBC2.10×10~9/L,N0.64初诊疑为急性肾小球肾炎.入院后予以抗生素及对症处理2周无效,仍有不规则发热,达39.7℃,肝脏大至2.5cm.WBC升高达3.20×10~9/L,NO.89;B
Male, 12 years old, due to eyelid edema more than ten days, cough for 1 week admitted to the hospital .In children with fever onset continued fever for 3 days, after the heat back eyelid edema, backache, fatigue, but no urinary frequency, urinary urgency. (A), only the eyelid is still edema.With dry cough, anorexia, but no abdominal pain, diarrhea.Check the body: T36.7 ℃, P84 times / min, BP12 / 8kPa (90 / 60mmHg). Generally good, no rash, bleeding, no abnormal heart and lung, liver ribs 1cm, medium quality, tenderness, spleen not touched, A) .WBC2.10 × 10 ~ 9 / L, N0.64 newly diagnosed as acute glomerulonephritis.After admission to antibiotics and symptomatic treatment 2 weeks is invalid, there are irregular fever, up to 39.7 ℃, the liver as large as 2.5 cmWW increased up to 3.20 × 10 ~ 9 / L, NO.89; B