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本文报告1例经肾活检确诊为特发性急进性肾小球肾炎,伴有严重的低补体血症患儿。男,7岁,因咽炎、头痛、轻度眼睑浮肿和肉眼血尿2周后住院。尿蛋白+++,有红细胞管型。Hb为10.7g%,血沉为38mm/时,血尿素氮和肌酐正常,血C_316mg%(正常>90mg%),抗链“O”和链球菌酶正常。排泄性尿路造影示两侧肾脏肿大。住院第4天转院。查血尿素氮44mg%,血肌酐1.7mg%,总蛋白低。血IgG、IgA和IgM均正常。肌酐清除率为27.3ml/分/1.73m~2,24小时尿蛋白定量1.12g%。住院第3天施肾活检,并开始静脉甲基强的松龙治疗,共
This article reports 1 case of renal biopsy diagnosed as idiopathic acute glomerulonephritis, accompanied by severe hypoglycemia in children. Male, 7 years old, hospitalized for pharyngitis, headache, mild eyelid edema and gross hematuria 2 weeks later. Urinary protein +++, a red blood cell tube. Hb was 10.7g%, erythrocyte sedimentation rate was 38mm / hour, blood urea nitrogen and creatinine were normal, blood C_316mg% (normal> 90mg%), anti-chain “O” and streptococcal normal. Excretory urography showed bilateral kidney enlargement. On the 4th day of hospital transfer. Check blood urea nitrogen 44mg%, serum creatinine 1.7mg%, total protein is low. Blood IgG, IgA and IgM were normal. Creatinine clearance rate of 27.3ml / min / 1.73m ~ 2, 24 hours urine protein quantitative 1.12g%. Renal biopsy was performed on the third day of hospitalization and intravenous methylprednisolone treatment was initiated