患儿男，3岁，以水肿、尿少10天人院。血压150/112mmHg，贫血貌。血WBC6.1x109/L,Hb61g/L,PLT40x109/L,网织红细胞5.5%。尿蛋白（+++)，RBC3-4个/HP。BUN20mmol/L。最可能的诊断是

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