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患儿,男,7岁,因间断抽搐,发热,浮肿加重2天入院。4年前患儿因浮肿住我科,确诊为肾病综合征(单纯型)给予强的松及其它药物配合治疗20天,尿蛋白转阴后出院。出院后因病情反复一直间断、不规律服用强的松治疗4年,剂量2.5～30mg不等,根据浮肿及尿蛋白自行调节,尿蛋白波动在-～+++之间。入院前2天患儿出现发热,体温38～39.8℃,精神萎糜,烦躁不安,呕吐,间断抽搐3次,尿量减少,浮肿加重。体检:体温39.6℃,呼吸36次/分,脉搏160次/分,血压14/8kPa,意识朦胧,精神萎糜,烦躁不安,重度柯兴氏面
Children, male, 7 years old, due to intermittent convulsions, fever, edema increased 2 days admission. 4 years ago, children with edema in our department, diagnosed with nephrotic syndrome (simple type) given prednisone and other drugs with the treatment of 20 days, urinary protein was discharged after discharge. After discharge due to repeated illness has been discontinuous, irregular treatment of prednisone for 4 years, a dose of 2.5 ~ 30mg, according to edema and urinary protein self regulation, urinary protein fluctuations between - ~ +++. 2 days before admission, children with fever, body temperature 38 ~ 39.8 ℃, spiritual wilt, irritability, vomiting, intermittent twitching 3 times, decreased urine output, increased edema. Physical examination: body temperature 39.6 ℃, breathing 36 beats / min, pulse 160 beats / min, blood pressure 14 / 8kPa, dim consciousness, spiritual wilt, restlessness, severe Cushing’s face