患者，男，34岁。一周前曾感冒低热2天，近3天 来发现下肢水肿，血压150/90mmHg，尿蛋白（++ + )，尿沉渣镜检红细胞20~40个/HP，颗粒管型偶 见，血红蛋白98g/L，最可能的临床诊断为(    )

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