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患儿黄×,男,6岁,住院号3424。因面部浮、肿、血尿1天于1981年10月7日入院。1天前面部出现浮肿,解浓茶样小便,尿量减少。在当地卫生院检查小便,发现蛋白++、RBC++++、WBC+,诊为急性肾炎转入我科。1周前曾有上感病史,服中药治愈。足日顺座儿,母乳喂养,既往体健,无特殊既往史,家属中1姐1兄均有肾炎病史。体检:T375℃,Bp90/60。面部及双下肢可见轻度紧张性浮肿。咽部轻度充血,双扁桃体无肿大。心肺听诊均阴性。腹水征阴性。肝肋下1.5Cm、质软、脾肋下未触及。神经系统及其他均无异常发现。
Children with yellow ×, male, 6 years old, hospital number 3424. Due to facial floating, swollen, hematuria 1 day in October 7, 1981 admission. A day before the face edema, solution-like tea-like urine, reduce urine output. Urine examination in the local hospitals, found that protein ++, RBC ++++, WBC +, diagnosed as acute nephritis transferred to our department. A week ago had a sense of medical history, serving Chinese medicine cure. Foot day along with children, breastfeeding, past physical health, no special past history, family members in a sister have a history of nephritis. Physical examination: T375 ℃, Bp90 / 60. Facial and lower extremity visible mild tension edema. Pharyngeal mild hyperemia, double tonsil no enlargement. Cardiopulmonary auscultation was negative. Ascites sign negative. Liver rib 1.5Cm, soft, spleen ribs did not touch. Nervous system and other no abnormal findings.