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女,8岁。因少尿、渐至无尿1周,间歇抽搐3天入院。体查:血压17.3/13.3kPa,谵妄,呕吐,四肢阵挛性抽动,全身凹陷性水肿,腹移动性浊音阳性,余无特殊。实验室检查:尿蛋白(+),红细胞(+),白细胞(-),管型(-)。BUN28.9mmol/L,Cr662.7μmol/L,Co_2CP15.3mmol/L。血钠89.6mmol/L,氯69.3mmol/L,钾4.1mmol/L,钙1.7mmol/L,胆固醇5.41mmol/L,C_341.1mg/dL,血桨总蛋白53.4g/L,血清白蛋白
Female, 8 years old. Due to oliguria, asymptomatic to 1 week, intermittent convulsions 3 days admitted. Physical examination: blood pressure 17.3 / 13.3kPa, delirium, vomiting, limbs clonic tics, systemic pitting edema, abdominal motility dullness positive, I no special. Laboratory tests: urinary protein (+), red blood cells (+), white blood cells (-), tubular (-). BUN28.9mmol / L, Cr662.7μmol / L, Co_2CP15.3mmol / L. Blood sodium 89.6mmol / L, chlorine 69.3mmol / L, potassium 4.1mmol / L, calcium 1.7mmol / L, cholesterol 5.41mmol / L, C_341.1mg / dL, total plasma protein 53.4g / L, serum albumin