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女,10岁。因发热、尿少、水肿、高血压入院。45天前开始发热,先后应用抗生素等治疗,25天后热退。发热后期渐出现尿少、水肿及血压高,曾一过性失明及惊厥。体检:血压20/12 kPa(150/90mmHg,1kPa=7.5mmHg),贫血貌,全身可凹性水肿。心率80次,律齐,可闻及舒张期奔马律。双下肺呼吸音低。肝右肋下5cm,质中等,脾肋下2cm,双肾可触及,腹水征(+)。神经系统(-)。血红蛋白42g/L,红细胞1.20×10~(12)/L,异型红细胞
Female, 10 years old. Due to fever, oliguria, edema, hypertension admitted to hospital. 45 days ago began fever, antibiotics and other treatment has been applied, 25 days after the heat back. Fewer urine gradually after the onset of fever, edema and high blood pressure, had transient blindness and convulsions. Physical examination: blood pressure 20/12 kPa (150 / 90mmHg, 1kPa = 7.5mmHg), anemic appearance, the body can be concave edema. Heart rate 80 times, law Qi, can be heard and diastolic gallop. Double lower lung breath sounds low. Liver right rib 5cm, medium quality, spleen ribs 2cm, renal reach, signs of ascites (+). nervous system(-). Hemoglobin 42g / L, red blood cells 1.20 × 10 ~ (12) / L, atypical erythrocytes