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肾病综合征为儿科泌尿系疾病常见病之一。病理分型为局灶性硬化性肾小球肾炎(FGS)亦不少见,但并发严重的、难以纠正的低钾血症国内尚未见报告。我院收治一例,经活检证实诊断,并因严重低血钾而致呼吸、心跳骤停,抢救成功。报告如下。男,12岁,住院号253629。因持续蛋白尿10个月,全身无力20多天,于1986年7月9日入院。患儿1985年双下肢皮肤感染4个月未愈,同年9月出现双眼睑浮肿,渐延及全身,尿蛋白(++)～(+++)。住当地医院,用青霉素及中药治疗2周,出院后继续中药治疗,未效。尿蛋白持续(++),浮肿未消。近1月多来,尿量增多,每日2000ml左右,夜尿3～4次。食欲逐渐减退,懒言,少活动,浮肿渐消。近20多天来,恶心、呕吐、乏力加重,遂入我院诊治。
Nephrotic syndrome is one of the common diseases of pediatric urology. Pathological classification of focal sclerosing glomerulonephritis (FGS) is not uncommon, but complicated with severe uncorrectable hypokalemia have not been reported in China. A case of our hospital admitted to the biopsy confirmed diagnosis, and due to severe hypokalemia caused by breathing, cardiac arrest, rescue success. The report is as follows. Male, 12 years old, hospital number 253629. Due to persistent proteinuria 10 months, generalized weakness more than 20 days, July 9, 1986 admission. Children with lower extremity skin infection in 1985, 4 months did not heal, the same year in September double eyelid edema, gradually extended and systemic, urinary protein (++) ~ (+++). Live in a local hospital, with penicillin and Chinese medicine for 2 weeks, after discharge of traditional Chinese medicine treatment, not valid. Urinary protein persists (++), edema disappeared. More than a month ago, increased urine output, about 2000ml daily, nocturia 3 to 4 times. Appetite gradually diminished, lazy words, less activity, edema gradually disappear. Nearly 20 days, nausea, vomiting, fatigue increased, then into our hospital for treatment.