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患儿男,2 1/2岁。因反复全身性浮肿半年,咳嗽气急一周,拟肾炎性肾病合并胸腔积液入院。T37.2℃,P110,R28,BP17.3/12.0kPa(130/90mmHg)。神清,发育正常,营养中等,无紫绀,浅表淋巴结不肿大,巩膜无黄染,咽赤,扁桃体Ⅰ度肿大,颈软,气管居中,颈静脉不怒张,胸部对称,右侧叩浊,右肺呼吸音明显减低,心律齐,心率110次,未闻及病理性杂音。腹软,肝肋下2.5cm,质软,脾未触及,腹水征(一),两下肢明显凹陷
Children male, 2 1/2 years old. Due to repeated systemic edema for six months, cough hysterical week, to be nephritis with nephropathy pleural effusion admitted to hospital. T37.2 ° C, P110, R28, BP17.3 / 12.0 kPa (130/90 mmHg). Shen Qing, normal development, moderate nutrition, no cyanosis, superficial lymph nodes is not enlarged, scleral no yellow dye, pharynx red, tonsil enlargement, neck soft, tracheal center, jugular vein without tension, chest symmetry, right Knock turbid, right lung breath was significantly reduced, heart rate Qi, heart rate 110 times, no smell and pathological murmur. Abdomen soft, liver ribs 2.5cm, soft, spleen not touched, signs of ascites (a), the two lower limbs significantly concave