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女,10岁;浮肿、血尿、少尿20天,伴恶心、呕吐7天。检查尿蛋白十十,尿红细胞十十十,BPl7/12kPa,经青霉素及对症处理,未见疗效。查体:体重29kg,身高1．38m,神清,精神差,贫血貌,双眼睑浮肿,心肺(一),腹水征(一),双下肢凹陷浮肿。血象和血小板计数正常,血气分析提示代谢性酸中毒,ASO(一),ESR45mm/h,“二对半”检查除抗HBs(十)外,余正常,免疫球蛋白和补体测定正常,IC(一)、ANA(一)、抗肾基底膜抗体(一);尿检RBC5600万/ml、管型0．2万/ml、粗颗粒管型90%、细颗粒管型l0%,尿C_315．5mg/L、a_2-M33．9mg/L、溶菌酶21．2μg/L,尿渗透浓度475mOsm/kg·H_2O;B超显示左肾10．25cm×38cm×40cm、右肾10．12cm×39cm×55cm。人院即行
Female, 10 years old; edema, hematuria, oliguria 20 days, with nausea, vomiting for 7 days. Check urine protein ten, urine red blood cells ten ten, BPl7 / 12kPa, by penicillin and symptomatic treatment, no effect. Physical examination: weight 29kg, height 1.38m, God clear, poor spirit, anemia appearance, double eyelid edema, cardiopulmonary (A), signs of ascites (a), double lower extremity edema. Blood and platelet count were normal, blood gas analysis suggested metabolic acidosis, ASO (a), ESR45mm / h, “two and a half” check except anti HBs (ten), I normal, immunoglobulin and complement determination was normal, IC A), anti-kidney basement membrane antibody (a); urinalysis RBC5600 / ml, tube type 0.2 million / ml, 90% of the coarse particle tube, fine tube l0%, urine C_315.5mg /L,a_2-M33.9mg/L, Lysozyme 21.2μg / L, urinary osmolality 475mOsm / kg · H_2O; B ultrasound showed that the left kidney 10.25cm × 38cm × 40cm, right kidney 10.12cm × 39cm × 55cm . People’s hospital that is OK