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病例:女,16岁。发热头痛3天,无恶心、呕吐,无尿频、尿急及腹泻。门诊检查发现有蛋白尿而收入院。体检:T 37.8,P 80,R 20,BP 12/8kPa。咽充血,扁桃体不大,全身皮肤未见出血点,眼睑及下肢无浮肿,全身浅表淋巴结未触及,心肺听诊无异常发现,肝、脾未触及,肾区无叩痛。血红蛋白132g/L,白细胞4.3×10~9/L,中性粒细胞0.35,大单核细胞0.01,未找见异型淋巴细胞。血小板101×10~9/L。尿常规:蛋白++~卅,红细胞(-),白细胞(-),管型(-)。X线胸片、心电图、腹部B超检查均未见异常。入院初诊:①肾病综合征,②肾炎肾病型,③流行性出血热,④病毒感染。给予青
Case: Female, 16 years old. Fever headache 3 days, no nausea, vomiting, frequent urination, urgency and diarrhea. Outpatient examination found proteinuria income hospital. Physical examination: T 37.8, P 80, R 20, BP 12 / 8kPa. Pharyngeal hyperemia, tonsils, systemic bleeding no bleeding, eyelid and lower extremity no edema, systemic superficial lymph nodes not touched, no abnormal findings of cardiopulmonary auscultation, liver, spleen not touched, no percussion pain in the kidney area. Hemoglobin 132g / L, white blood cells 4.3 × 10 ~ 9 / L, neutrophils 0.35, large mononuclear cells 0.01, did not find the atypical lymphocytes. Platelets 101 × 10 ~ 9 / L. Urine: protein ++ ~ 卅, red blood cells (-), white blood cells (-), tubular (-). X-ray, ECG, abdominal B-ultrasound were no abnormalities. Admission: ① nephrotic syndrome, ② nephritis kidney disease, ③ epidemic hemorrhagic fever, ④ virus infection. Give green