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当前学科：中西医结合内科综合练习
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患者，男，48岁，主因1周前有呼吸道感染史，突然出现少尿伴恶心呕吐，全身水肿，血压查体160／100mmHg，光镜下肾小球囊腔内有大新月体形成，免疫病理学检查见lgA及C，呈颗粒状沉积于系膜区，尿常规（PRO++++），血红蛋白8g／L，血Cr520mmol／L本病例应诊断为（）
A . A.急性肾小球肾炎
B . 急性肾小管坏死
C . 间质性肾炎
D . 急进性肾小球肾炎
E . 梗阻性肾炎
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