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61例婴幼儿肾小球疾病的临床与病理 被引量:1

Clinical and pathological study ofglomerular diseases in 61 infantpatients
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摘要 对61例婴幼儿肾小球疾病患儿进行肾穿刺检查,其中急性肾炎4例,迁延性肾炎1例,无症状性蛋白尿或血尿3例,单纯性肾病45例,肾炎性肾病7例,先天性肾病综合征1例。病理类型:毛细血管增生性肾炎7例,微小病变5例,系膜增生性肾炎26例,IgA肾病5例,IgM肾肩10例,膜性肾病7例,局灶节段性肾小球硬化1例。完全经解49例(88.5%),部分缓解6例(9.8%),无效1例(1.6%).结果表明,婴幼儿肾小球疾病的病理类型以系膜增生性肾炎为主,微小病变只占8.2%。婴幼儿肾小球疾病的疗效较好。 1 cases infant with biopey proved prmiarynephritis were studied. There were 4 cases ofacute nephritis, defered nephritis 1 case, no-symptomatic proteinuria or hematuria 3 cases,45 cases with simple nephrosis, nephriticnephrosis 7 cases and 1 case of hereditarynephritis in all petients. The pothologic typedistrubution in turn was: endocapillaryproliferative nephritis 7 cases, minimal changenephropathy 5 cases, mesangial proliferativenephritis 26 cases, IgA nephropathy 5 cases,igM nephropathy 10 cases, membranousnephropathy 7 cases and 1 case of focalsegmental glomerulosclerosis. Therapeuticeffect: 49 patients showed complete remission(88. 5%) , 6 petients showed near remission(9.8%) and inefficiency patients had only 1 case(1. 6%). The results showed the mesangialproliferative nephritis was most importantpathologic type of glomerular diseases in theinfant patients, the minimal change nephropathyexhibited only 8. 2%, on the other hand, thetherapcutic effect of glomerular diseases wasmuch better in the infant.
机构地区 解放军第
出处 《肾脏病与透析肾移植杂志》 CAS CSCD 1994年第4期281-283,共3页 Chinese Journal of Nephrology,Dialysis & Transplantation
关键词 肾小球疾病 婴幼儿 临床 病理 glomerular diseases infant
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同被引文献7

  • 1方国祥.香港地区91例成人急性链球菌感染后肾炎的临床特征和长期随访[J].中华内科杂志,1989,28:486-489.
  • 2Niimi K,Ide K,Tsuru N.Five cases of acute poststreptococcal glomerulonephritis with acute renal failure and nephrotic syndrome[J].Nippon Jinzo Gakkai Shi,2002,44:29-33.
  • 3Madaio MP,Harrington JT.The diagnosis of glomerular diseases:acute glomerulonephritis and the nephrotic syndrome[J].Arch Intern Med,2001,161:25-34.
  • 4Baldwin DS.The long-term prognosis of post-streptococcal glomerulonephritis[J].Ann Intern Med,1974,80:342.
  • 5Hinglais N,Garcia-Torres R.Long-term prognosis in acute glomerulonephritis.The predictive value of early clinical and pathologic features observed in 65 patients[J].Am J Med,1974,56:52-60.
  • 6李世军,刘光陵,夏正坤,高远赋,张连丰,王晓燕,王兆全.30例儿童毛细血管内增生性肾小球肾炎临床和病理分析[J].临床儿科杂志,2000,18(1):5-7. 被引量:4
  • 7杨霁云.以急性肾炎起病其后发生肾病综合征时的诊断和治疗[J].中华肾脏病杂志,1992,8(3):170-172. 被引量:5

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