患儿男,5岁。间断少尿、浮肿、蛋白尿4月余。按“肾病”治疗,每加大强地松剂量症状缓解,但剂量略减则复发。1月来强地松用至60mg/日,并服环磷酰胺、中药,但症状不缓解。近6日尿量更少,约500ml/日,浮肿加重伴恶心、呕吐、纳差、乏力。病来患儿一直禁盐,偶用低盐饮食。入院查:T36.5℃,P130次/分,R24次/分,BP16/11KPQ,萎靡,全身高度浮肿, Children male, 5 years old. Intermittent oliguria, edema, proteinuria more than 4 months. According to “nephropathy” treatment, each dose of pine is relieved, but the dose is slightly reduced then relapse. Strong pine in January to 60mg / day, and taking cyclophosphamide, Chinese medicine, but the symptoms do not ease. Nearly 6 days less urine output, about 500ml / day, edema aggravated with nausea, vomiting, anorexia, fatigue. The sick child has been banned salt, even with low salt diet. Admission check: T36.5 ℃, P130 beats / min, R24 beats / min, BP16 / 11KPQ, malaise, body height edema,