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血尿306例临床与病理分析
引用本文:甘卫华,陈荣华,黄文彦,丁桂霞,黄松明,姜新猷. 血尿306例临床与病理分析[J]. 实用儿科临床杂志, 2003, 18(11): 899-901
作者姓名:甘卫华  陈荣华  黄文彦  丁桂霞  黄松明  姜新猷
作者单位:1. 南京医科大学第二附属医院,南京,210011
2. 南京医科大学小儿肾脏病研究中心,南京,210029
摘    要:目的 研究血尿患儿的临床特征及肾脏病理特点。方法 对以血尿为首发及主要表现并具备肾活检病理诊断的306例血尿患儿的临床与病理资料进行回顾性分析。结果 IgA肾病占42%,系膜增殖性肾小球肾炎占38%,薄基底膜肾病占6%,Alport综合征占3%,其他占11%。结论 血尿严重程度与病理类型无明显关系,伴大量蛋白尿或高血压者病理损害相对较严重。

关 键 词:血尿 IgA肾病 肾小球肾炎 系膜增殖性
文章编号:1003-515X(2003)11-0899-03
修稿时间:2003-08-24

Clinical and pathological analysis of 306 children with hematuria
GAN Wei-hua,CHEN Rong-hua,HUANG Wen-yan,et al.. Clinical and pathological analysis of 306 children with hematuria[J]. Journal of Applied Clinical Pediatrics, 2003, 18(11): 899-901
Authors:GAN Wei-hua  CHEN Rong-hua  HUANG Wen-yan  et al.
Affiliation:GAN Wei-hua,CHEN Rong-hua,HUANG Wen-yan,et al. Department of Pediatrics,Affiliated Second Hospital,Nanjing Medical University,Nanjing 210011,P.R.China
Abstract:Objective To investigate the clinical feature and renal pathological behavior in children with hematuria.Methods Retrospective analysis was performed in 306 children whose primary symptom was hematuria diagnosed by renal biopsy pathologically.Results Distributions of renal pathological type were:immunoglobulin A nephropathy 42 %,mesangial proliferative glomerulonephoritis 38 %,thin glomerular basement membrane nephropathy 6 %,Alport syndrome 3 %, others 11 %.Conclusions There was no significant relationship between the severity of hematuria and the renal pathological type.The relative severe pathological lesion was present in those with hematuria accompanying mass proteinuria and hypertension.
Keywords:hematuria  immunoglobulin A nephropathy  mesangial proliferative glomerulonephoritis
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