患儿,女,13岁,因浮肿尿少10天,无尿8小时,咯血气急3天,于1984年11月14日入院。患儿自1980年7月起咳嗽,乏力,面黄,时好时坏,反复发作。近两年来咳嗽及面黄较前加重,病程中有时伴不规则发热。10多天前开始有两下肢轻度浮肿,渐加重,伴尿少、咳嗽、咯血。过去无肾炎及肝炎史,否认结核病接触史。父母为近亲结婚,家族中无类似患者。体检:体温、呼吸、脉搏正常,血压140/100,慢性病容,全身凹陷性浮肿,重度贫血貌,呼吸急促,口唇轻度发绀,皮肤粘膜无出血点及溃疡,全身浅表淋巴结不肿大,巩膜无黄染,心肺(一),肝肋下0.5cm,剑下4cm,质软。脾未及。二下肢有凹陷性水肿。神经系统未发现异常。实验室检查:血红蛋白<4g,白细胞11500,中性粒细胞80％,淋巴细胞17％,单核细胞3％。血小板 Children, female, 13 years old, less than 10 days due to edema, no urine 8 hours, hemoptysis 3 days, on November 14, 1984 admission. Children from July 1980 cough, fatigue, face yellow, good times and bad, recurrent. Over the past two years, cough and facial yellow heavier than before, sometimes accompanied by irregular fever. More than 10 days ago there are two mild lower edema, gradually heavier, with less urine, cough, hemoptysis. No history of nephritis and hepatitis in the past, denied the history of exposure to tuberculosis. Parents were married relatives, no similar family in patients. Physical examination: body temperature, breathing, normal pulse, blood pressure 140/100, chronic disease, body pitting edema, severe anemia appearance, shortness of breath, mild cyanotic lips, skin and mucous membrane without bleeding and ulcers, systemic superficial lymph nodes does not enlarge, Sclera without yellow dye, heart and lung (a), liver ribs 0.5cm, sword 4cm, soft. Spleen not yet. Dimple depression edema. Nervous system found no abnormalities. Laboratory tests: hemoglobin <4g, white blood cells 11500, 80% of neutrophils, lymphocytes 17%, monocytes 3%. Platelets