女,10岁,水肿、少尿3天。尿量每 天约400ml,伴头昏、头痛、眼花、恶心、频 繁呕吐,无心慌、胸闷、气促。查体:BP 150/100mmHg,双肺未见...

作者: rantiku 人气: - 评论: 0
问题 女,10岁,水肿、少尿3天。尿量每 天约400ml,伴头昏、头痛、眼花、恶心、频 繁呕吐,无心慌、胸闷、气促。查体:BP 150/100mmHg,双肺未见 异常,尿常规示: 红细胞(+ + + + ),白细胞(+ +),蛋白 (+ + + )。血肌酐68μ mol/L,血尿素贫7. 8mmol/L, ASO 阳性,C3 0. 27g/L。最可 能的诊断是 A急性肾小球肾炎合并急性肾功能不全 B急性肾小球肾炎合并髙血压脑病 C急性肾小球肾炎合并严重循环充血 D急进性肾小球肾炎 E急性肾小球肾炎
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答案 B
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