患儿,女,11岁。反复咯血3月,伴血尿、水肿2个半月入院。咯血前低热、咽痛10天。病后曾在当地医院用青霉素、双氢克尿噻、止血敏等药,病情无好转。素体健,无肾炎、肺结核病史。体查:体温37℃,脉搏108次,呼吸24次,血压16.0/10.7kPa。贫血貌,全身凹陷性水肿,双肺呼吸音粗糙,心尖区闻及Ⅱ级收缩期吹风样杂音,肝脾均未扪及,双肾区叩击痛。血红蛋白50g/L,白细胞7.4×10~9/L,血小板150×10~9/L。尿蛋白 Children, female, 11 years old. Repeated hemoptysis in March, with hematuria, edema 2 and a half months admitted. Hemoptysis low fever, sore throat 10 days. After the illness in the local hospital with penicillin, hydrochlorothiazide, bleeding and other drugs, the disease did not improve. Body health, no nephritis, history of pulmonary tuberculosis. Physical examination: body temperature 37 ℃, pulse 108 times, breathing 24 times, blood pressure 16.0 / 10.7kPa. Anemia appearance, body pitting edema, rough breathing sounds of both lungs, apical area smell and Ⅱ grade systolic hair-like murmurs, liver and spleen are not palpable, peritoneal area percussion pain. Hemoglobin 50g / L, white blood cells 7.4 × 10 ~ 9 / L, platelets 150 × 10 ~ 9 / L. Urine protein