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病儿,男,10岁。因浮肿、蛋白尿5个月于1989年5月17日入院。患儿在1988年12月10日诊断为,“肾病综合征”开始用强的松60mg/日治疗,2周后减至20mg/日治疗20天。停药2～3天后,肾病症状再现,又重新用强的松(60mg/日)治疗约10周,因尿蛋白仍达(+++)而于1989年3月21日起采用环磷酰胺和地塞米松联合疗法。地塞米松起初为10mg/日,15天后改为7.5mg/天,隔日顿服,但仍无效而转至本院。体检:体温38.8℃。血压17.56/12.77EPa(132/96mmHg)。柯兴氏
Sick child, male, 10 years old. Due to edema, proteinuria 5 months in May 17, 1989 admission. Children diagnosed on December 10, 1988, “nephrotic syndrome” began with prednisone 60mg / day treatment, 2 weeks to 20mg / day for 20 days. After 2 to 3 days of withdrawal, the symptoms of kidney disease were reproduced and again treated with prednisone (60 mg / day) for about 10 weeks. Since urinary protein was still present (+++), cyclophosphamide And dexamethasone combination therapy. Dexamethasone initially 10mg / day, 15 days to 7.5mg / day, Dayton clothing, but still invalid and transferred to the hospital. Physical examination: body temperature 38.8 ℃. Blood pressure 17.56 / 12.77 EPA (132/96 mmHg). Cox’s