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5岁,男孩。因颜面浮肿2天,验尿常规有蛋白(+++),白细胞3～4/HP,于1985年5月10日诊断为“肾病综合征”收住院。一年前曾有过轻度颜面浮肿病史,在外地医院验尿常规蛋白(+++),未经治疗浮肿消失。无其他特殊病史。体检:颜面和下肢无明显浮肿。心肺正常,肝脾未及。BP110/70mmHg。血常规未见异常。尿常规:蛋白(+++)。WBC1～3/HP,尿培养(-)。血沉<20mm/第1小时,BUN1.79mmol/L(5mg%),CH_(50)90KU/L,C_3 1150mg/L,尿蛋白定量0.42g/24小时。血浆总蛋白64g/L,白蛋白35g/L,球蛋白29g/L。肾脏B超检查:右肾上下径7.1cm,前后径3.5cm,左右径4.7cm,光点分布均匀;左肾未超及。静脉肾盂造影(IVP):右肾显影,肾盂肾盏正常;左肾未显影。
5 years old, boy. 2 days due to facial edema, urinalysis protein (+++), leukocytes 3 ~ 4 / HP, on May 10, 1985 diagnosis of “nephrotic syndrome” admitted to hospital. A year ago had a mild history of facial edema, urinal routine examination in foreign hospitals (+++), untreated edema disappear. No other special medical history. Physical examination: No apparent edema on face and lower extremities. Cardiopulmonary normal, liver and spleen not yet. BP110 / 70mmHg. No abnormal blood tests. Urine: protein (+++). WBC1 ~ 3 / HP, urine culture (-). Blood sediment <20mm / first hour, BUN 1.79mmol / L (5mg%), CH_ (50) 90KU / L, C_3 1150mg / L, urine protein was 0.42g / 24 hours. Total plasma protein 64g / L, albumin 35g / L, globulin 29g / L. Kidney B-ultrasound: the right kidney diameter 7.1cm, anteroposterior diameter 3.5cm, about 4.7cm diameter, spot distribution; left kidney is not over. Intravenous pyelography (IVP): right kidney development, normal renal pelvis; left kidney undeveloped.