患儿女，9岁，水肿、茶色尿4周，近3天 尿量进行性减少，今日出现无尿。测BP 140/90mmHg，尿常规 PRO+，RBC 满视野， 血 BUN 47.5mmol/L,血钾6.18mmol/L0 该患儿最可能的诊断是

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