患儿,女,4岁。因呕吐,腹泻,尿少11天入院。11天前患儿因“受凉”后出现呕吐,呕吐物为胃内容物,10次/天。腹泻3～4次/天,为黄色稀便,无脓血。尿少,约200ml/天,色清亮。病初有发热,咳嗽,外阴水肿。无“肾炎”史。体查:体温36℃,呼吸20次,血压12.0/8.0kPa。精神差,嗜睡,唇轻度紫绀,面稍有水肿,咽轻度充血,双肺呼吸音粗,可闻中量细湿罗音,心率120次,律齐,心音低钝,肝脾未扪及,移动性浊音±,双肾区无叩 Children, female, 4 years old. Due to vomiting, diarrhea, oliguria less admission 11 days. 11 days ago, children with “cold” after vomiting, vomit stomach content, 10 times / day. Diarrhea 3 ~ 4 times / day, yellow loose stools, no abscess blood. Urine less, about 200ml / day, color clear. Early fever, cough, vulvar edema. No “nephritis” history. Physical examination: body temperature 36 ℃, breathing 20 times, blood pressure 12.0 / 8.0kPa. Poor spirit, drowsiness, mild cyanosis lips, face a little edema, mild congestion of the pharynx, lung breath sounds coarse, can be heard in the amount of fine wet rales, heart rate 120 times, law Qi, heart sound low blunt, liver and spleen not palpable And, mobility dullness ±, double kidney area without knocking