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患儿,男,45天,自生后腹胀伴下肢浮肿,无尿1日入院。第1胎第1产,足月,顺产,胎盘情况不详,其父母非近亲婚配。体检:发育营养均差,体重3kg,反应差,鼻梁塌陷,颅缝宽,面色苍白,枕骨凹陷,心肺无异常,腹胀,腹壁静脉显露,全身为凹陷性浮肿。实验室检查:血红蛋白89g/L,白细胞10.2×10~9/L,血小板96x10~9/L,尿蛋白++++,红细胞稀布,颗粒管型0～1,尿渗
Children, male, 45 days, spontaneous abdominal distension with lower extremity edema, anuria admitted to the hospital on the 1st. The first child of the first birth, full-term, natural delivery, placenta unknown situation, the parents of non-relatives of marriage. Physical examination: poor developmental and nutritional balance, weight 3kg, poor response, collapse of the nose, wide cranial suture, pale, occipital deformity, cardiopulmonary no abnormalities, abdominal distension, abdominal veins revealed that the body was depressed edema. Laboratory tests: hemoglobin 89g / L, white blood cells 10.2 × 10 ~ 9 / L, platelets 96x10 ~ 9 / L, urinary protein ++++, erythrocyte sparse, granular tube 0-1, urine seepage