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应用经皮肾活检术以前,遇有以浮肿、高血压和心力衰竭为主的患者而尿正常或轻微异常,则很难确定患有急性肾小球肾炎。本文报告3例此类患儿,并发现仅有6例其他类似的报告。病例介绍例1 5岁男孩,因眼睑浮肿5天入院。无血尿、尿频、排尿困难或尿少的历史。体格检查见眶周浮肿,颌下淋巴结肿大,咽充血,踝部有可凹性浮肿。体温37. 9℃,脉搏86次/分,呼吸20次/分,血压150/100毫米汞柱。实验室检查:血红蛋白9. 0克%。白细胞26,500/毫米~3,中性粒细胞84%,血尿素氮21毫克%,抗“O”滴度250单位,血沉51毫米/小时,
Prior to the use of percutaneous renal biopsy, it was difficult to confirm the presence of acute glomerulonephritis when there were normal or mild abnormalities of urine in patients with predominantly edema, high blood pressure, and heart failure. This article reports 3 such children and found only 6 other similar reports. Case description 1 5-year-old boy, eyelid edema admitted to hospital for 5 days. No history of hematuria, frequent urination, dysuria or oliguria. Physical examination, see periorbital edema, submandibular lymph nodes, pharyngeal congestion, ankle concave concavity. Body temperature 37. 9 ℃, pulse 86 beats / min, breathing 20 beats / min, blood pressure 150/100 mm Hg. Laboratory tests: hemoglobin 9.0 g%. Leukocytes 26,500 / mm3, neutrophils 84%, blood urea nitrogen 21 mg%, anti-“O” titer 250 units, erythrocyte sedimentation rate 51 mm / hr,