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患儿男,11岁。因反复发烧半年,腰痛2月多,加重7天,昏迷2小时于1987年8月31日入院。半年前始发烧,T39℃以上,无抽搐,颜面、下肢浮肿,尿量尚可。2月多前出现皮疹,瘙痒,双腰疼痛,在川北医学院B超诊断“多囊肾,肾炎”。7天前病情加重,咳嗽、呼吸急促,干呕,尿少。2小时前突然昏迷,以“酸中毒原因待查,肾功衰?多囊肾?”收入抢救室。病后无血尿,大便正常。长期在院外肌注青霉素,服利尿剂等治疗无效,病情进行性加重。
Children male, 11 years old. Due to repeated fever for six months, low back pain in February more severe 7 days, 2 hours coma was admitted on August 31, 1987. Six months ago, fever, T39 ℃ above, no convulsions, facial, lower extremity edema, urine output is acceptable. More than two months ago there rash, itching, pain in the double waist, B-diagnosed in North Sichuan Medical College “polycystic kidney disease, nephritis.” 7 days ago aggravating, coughing, shortness of breath, retching, oliguria. Suddenly coma 2 hours ago to “the cause of acidosis to be investigated, renal failure? Polycystic kidney?” Income emergency room. No hematuria after the illness, normal stool. Long term in the hospital muscle penicillin, diuretics and other treatment ineffective, the disease progressive increase.