| 蛋白尿的临床及病理分析(49例) |
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| 引用本文： | 蔡定栋,郑伟如,刁友芳,李维信,刘永碧,唐宜,章高炎,张恒言. 蛋白尿的临床及病理分析(49例)[J]. 重庆医学, 1987, 0(4) |
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| 作者姓名： | 蔡定栋 郑伟如 刁友芳 李维信 刘永碧 唐宜 章高炎 张恒言 |
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| 作者单位： | 重庆医科大学附属第一医院内科(蔡定栋，郑伟如，刘永碧)，重庆医科大学病理科(刁友芳，章高炎)，重庆医科大学电镜室(李维信，唐宜)，重庆医科大学附属儿科医院(张恒言) |
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| 摘 要： | 本文蛋白尿患者按临床表现分为肾病综合征、持续性蛋白尿及肉眼或显微镜血尿伴蛋白尿三类共49。各例经肾活组织通过光镜,电镜及免疫荧光技术进行病理诊断,所得结果分原发性及系统疾病性肾小球肾炎两大类。不同的临床表现可得相同的病理发现,相同的临床表现可得不同的病理发现。IgM肾病经强的松加雷公藤获完全缓解。一般说来,强的松无效时加用细胞毒药物可使系膜增殖性、膜增殖性肾炎及膜性肾病得到缓解。部分患者因治疗剂量不足,未获满意结果。肾活检有助诊断,用以指导治疗。
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| 关 键 词： | 肾活检 蛋白尿 各类肾小球肾炎 |
CLINICAL AND PATHOLOGICAL STUDIES FROMRENAL BIOPSY IN 49 PATIENTSWITH PROTEINURIA |
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| Cai Dingdong,Zheng Weiru,Liu Yongbi. CLINICAL AND PATHOLOGICAL STUDIES FROMRENAL BIOPSY IN 49 PATIENTSWITH PROTEINURIA[J]. Chongqing Medical Journal, 1987, 0(4) |
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| Authors: | Cai Dingdong Zheng Weiru Liu Yongbi |
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| Abstract: | The clinical and pathological findings from renal biopsy of 49 patients with prote-inuria were analysed. Cases of similar clinical manifestations may have different pathological findings, while patients with different clinical presentations may have the same pathological depictions. Amelioration of IgM nephropathy can be achieved by pre-dnisolone and Tripterygium wilfordii hook, when prednisolone and cytotoxic agents are used, membranous nephropathy, membrano-proliferative nephropathy or mesangial proli-ferative nephropathy can be partially or completely alleviated. Renal biopsy studies in some cases are quite essential in guiding the appropriate treatment. |
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| Keywords: | Renal biopsy Proteinuria Glomerulonephritis |
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