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患儿女,出生6天,因下肢水肿5天,伴发热气急半天转我院。系第三胎第二产,36~(+3)周顺产。无窒息史,胎盘巨大。父母非近亲联姻,家族史无特殊。体检:神清气促,皮肤苍白轻绀,眼睑轻浮,前囟3×3cm~2、平坦,后囟大,颅缝宽0.6～1.2cm~2,颅骨高低不平,心(-),二肺少许中小湿罗音,肝肋下1cm,脾未及,双下肢凹陷性水肿。住院中多次化验尿常规:pH5.5～7.5、糖(?)、蛋白质(?)～(?)、红细胞少～+,有时见透明管型或颗粒管型;血胆固醇4.99mmol/L;血糖3.54mmol/L;肾功肝功正常;血
Children, born 6 days, due to lower extremity edema for 5 days, with fever one day to my hospital. Department of the third birth of the second child, 36 ~ (+3) weeks of birth. No history of asphyxia, huge placenta. Non-cousins of marriage, family history no special. Physical examination: purifying, pale pale cyanosis, eyelid frivolous, anterior fontanel 3 × 3cm ~ 2, flat, posterior fontanelle, cranial suture width 0.6 ~ 1.2cm ~ 2, caliber rugged, heart A small number of small wet rales, hepatic ribs 1cm, spleen and lower limb depression edema. Laboratory urine tests: pH 5.5 ~ 7.5, sugar (?), Protein (?) ~ (?), Red blood cells less ~ +, sometimes see transparent tube or granular tube type; blood cholesterol 4.99mmol / L; Blood glucose 3.54mmol / L; normal renal function; blood