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作者报导一例家族性复发性溶血性尿毒综合征(HUS),对其发病因素作了调查并加以讨论。病例男儿,3岁,6个月对因上呼吸道感染出现显微镜下血尿和少尿,在当地医院根据临床表现和实验室检查诊断HUS,经保守治疗后好转。3个月后因复发再次住院,家长拒绝腹膜透析,故仍给保守治疗,病情恢复后出院,继续抗高血压治疗。2年半后(3岁)又因上感出现血尿,浮肿再次住院。面色苍白,浮肿,体重和身长为同龄儿的第25个百分位,轻度腹水,下肢轻度凹陷性水肿,BP130/70mmHg,其余查体正常。电解质正常、尿素99mg/d1、肌酐1mg/d1、血钙8.2mg/d1、血磷6.5mg/d1、血总蛋白3.3g/L、白蛋白20g/L,Hb6.7g/d1,WBC
The authors report a case of familial recurrent hemolytic uremic syndrome (HUS), the incidence of factors were investigated and discussed. Cases of men, 3 years old, 6 months due to upper respiratory tract infection appeared microscopic hematuria and oliguria, at the local hospital according to clinical manifestations and laboratory tests to diagnose HUS, after conservative treatment improved. 3 months later due to recurrence of hospitalization, parents refused peritoneal dialysis, it is still conservative treatment, the condition was discharged after discharge, to continue antihypertensive treatment. 2 and a half years later (3 years old) hemorrhage due to the flu, edema again hospitalized. Pale, edematous, weight and length of the same age children of the 25th percentile, mild ascites, lower extremity mild depression edema, BP130 / 70mmHg, the rest of the physical examination. Electrolytes were normal, urea 99mg / d1, creatinine 1mg / d1, blood calcium 8.2mg / d1, phosphorus 6.5mg / d1, total blood protein 3.3g / L, albumin 20g / L, Hb6.7g / d1, WBC