患儿,男,11岁。因全身浮肿,少尿28天,心动缓二天入院。入院前34天患“扁桃体炎”,6天后颜面及全身水肿同时伴尿少,呕吐,以“急性肾炎”住当地医院。疗效不佳且发现心率减慢51次后转入我院。体检:全身水肿。神清,血压13.6/8kPa。心率时快时慢38～50次,心音强弱不等,肺无异常。腹部膨隆,腹水征阳性,肝肋下3cm。尿蛋白 (+++),红细胞(+++),白细胞(+++),血红蛋白49g/L,白细胞7.4×10~9/L,血小板100×10~9/L,钾2.6mmol/L,钠98mmol/L,氯化物84 Children, male, 11 years old. Due to systemic edema, oliguria 28 days, bradycardia admission two days. 34 days before admission suffering from “tonsillitis”, 6 days after the facial and systemic edema with less urine, vomiting, “acute nephritis” live in the local hospital. Poor efficacy and found that the heart rate slowed to 51 times transferred to our hospital. Physical examination: systemic edema. Clear, blood pressure 13.6 / 8kPa. Rapid heart rate 38 to 50 times slow, heart sound intensity range, no abnormal lung. Abdominal bulge, ascites sign positive, liver ribs 3cm. Urine protein, +++, +++, hemoglobin 49g / L, leukocyte 7.4x10-9 / L, platelet 100x10-9 / L, potassium 2.6mmol / L , Sodium 98 mmol / L, chloride 84