患儿女14岁,因浮肿、尿少3月,胸闷、唇绀、四肢厥冷1天于1985年8月26 日入院。体检:体温37.2℃,脉搏104次,呼吸28次,血压70/66,急性病容,柯兴貌,脉搏细弱,口唇发绀,四肢皮肤湿冷。心律整齐,第一心音低钝,肺无异常。腹软,肝在肋下2cm,脾未触及。实验室检查:血红蛋白17g,白细胞24000,中性粒细胞61％,淋巴细胞33％。尿常规:蛋白,白细胞(+),红细胞(-)。血钾5.1 mEq/L,血钠144mEq/L,氯化物100mEq/L,二氧化碳 Children 14 years of age, due to edema, oliguria in March, chest tightness, cyanosis, extremities Jue cold one day in August 26, 1985 admission. Physical examination: body temperature 37.2 ℃, pulse 104 times, breathing 28 times, blood pressure 70/66, acute disease, Kexing appearance, pulse weak, cyanotic lips, limbs, skin wet and cold. Tidy rhythm, the first heart sound low blunt, no abnormal lung. Abdominal soft, liver in the ribs 2cm, spleen not touched. Laboratory tests: hemoglobin 17g, leukocytes 24,000, neutrophils 61%, lymphocytes 33%. Urine: protein, white blood cells (+), red blood cells (-). Potassium 5.1 mEq / L, Sodium 144 mEq / L, Chloride 100 mEq / L, Carbon Dioxide