Children with nephrotic syndrome complicated with cerebral infarction in 1 case.docVIP

 PAGE \* MERGEFORMAT 8 Children with nephrotic syndrome complicated with cerebral infarction in 1 case Author: Zheng Lin-Hong Weng Duan Yi Xin Xiaohuiqiwan Ice Keywords: Nephrotic syndrome / complications; cerebral infarction; thrombophlebitis; children Children with nephrotic syndrome (Nephrotic syndrome, NS) in the hypercoagulable state is often complicated by venous thrombosis, the incidence of foreign reports of 20% [1], where the highest incidence of renal vein thrombosis and cerebral complications are extremely rare. The Court will now be one cases of primary nephrotic syndrome in children (Primary nephrotic syndrome, PNS) with cerebral infarction in children with clinical data analysis is as follows. 1 Case Information 1.1 The basic information on children, male, 8 years 5 months, accompanied by proteinuria, edema due to repeated eight more than a month, headache, abdominal pain, 3 d hospitalization. Physical examination on admission: God-ching, more irritability, blood pressure 112/70 mm Hg (1 mm Hg = 0.133 kPa), Cushing’s syndrome face, eyes, conjunctival edema significantly, heart and lung (-), body height of edema, abdominal bulge, liver and spleen touch patient dissatisfaction with shifting dullness positive, non-percussive pain in kidney area, limb muscle strength, muscle tone, Achilles tendon reflex normal knee, double-Babinski, Brinell sign, g’s syndrome were negative. Laboratory examination: urine protein (), occult blood (), microscopic examination of 39 red blood cells / μL, white blood cell 12 / μL, bacteria 10031 Ge / μL, urine culture showed Klebsiella pneumoniae positive; serum albumin 14.9 g / L, triglyceride 15.13 mmol / L, cholesterol 12.5 mmol / L; blood fibrinogen 7.2 g / L, D2 dimer 0.002 3 mg / L, anti-prothrombin Ⅲ 56%; 24 h urinary protein quantitative 15.31 g; renal albumin loss as early as 8 340 mg / L, transferrin 541 mg / L, N  acetyl  β  D  glucosaminidase 29.72 U / L; blood count WBC 11.3 ×