患儿男，14岁。乏力、面色苍白6个月，一年前有急性肾炎病史，近2个月夜尿增多，血压140/90mmHg，尿常规：PRO(+-++),RBC3-5个/HP。血常规示Hb98g/L。该患儿最可能的诊断是

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