瞿某某,男,10岁。浮肿,尿少,呕吐一天入院,患儿三天前有发烧及腰疼。查体:T36.5℃,P80次/分,R20次/分,第二天 BP150/100mmHg(第一天血压正常),神志清,双眼睑轻度浮肿,右耳下略肿,咽部充血,腮腺管口无差常,心肺正常,腹软,肝脾未及,左侧肾区叩痛阳性,双下肢无浮肿但可见散在脓疱疮干痂。尿常规:蛋白++,尿沉渣镜下红细胞15～20,白细胞20～30,扁平上皮细胞1～3,颗粒管型0 Qu Moumou, male, 10 years old. Edema, oliguria, vomiting one day admission, children with fever and back pain three days ago. Examination: T36.5 ℃, P80 beats / min, R20 beats / min, the next day BP150 / 100mmHg (normal blood pressure on the first day), clear consciousness, mild edema of both eyelids, , Parotid orifice without abnormalities, normal heart and lung, abdominal soft, liver and spleen not yet, the left kidney area knocking pain positive, no swelling of both lower extremities, but the scattered scattered impetigo dry scab. Urine routine: protein ++, urinary sediment microscope erythrocytes 15 to 20, leukocytes 20 to 30, flat epithelial cells 1 to 3, granular tube type 0