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儿童单纯性蛋白尿的病因诊断分析
引用本文:徐新民,匡裕玖,王韵琴,刘铜林. 儿童单纯性蛋白尿的病因诊断分析[J]. 华中科技大学学报(医学版), 1999, 28(3): 3
作者姓名:徐新民  匡裕玖  王韵琴  刘铜林
作者单位:同济医科大学附属同济医院儿科,武汉,430030
摘    要:对20例单纯性蛋白尿的临床和病理资料进行分析。结果发现,肾功能性蛋白尿9例(45%),其中直立性蛋白尿(OP)、胡桃夹现象(NCP)各3例,OP并NCP3例;肾实质性蛋白尿11例(55%),其中肾小球性蛋白尿9例〔系膜增生性肾炎(MsPGN)3例,IgA肾病(IgAN)1例,特发性膜性肾病(IMN)2例,局灶性节段性肾小球硬化(FSGN)、轻微病变(ML)、Alport综合征(AS)各1例〕,肾小管性蛋白尿2例。对两类蛋白尿的临床特征及鉴别要点和病因进行了讨论,建议应先初筛有无OP和NCP,然后再酌情进行肾活检。

关 键 词:肾疾病;蛋白尿;病因;诊断.鉴别

Etiologic Analysis of Children's Simple Proteinuria
Xu Xinmin,Kuang Yujiu,Wang Yunqin et al. Etiologic Analysis of Children's Simple Proteinuria[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 1999, 28(3): 3
Authors:Xu Xinmin  Kuang Yujiu  Wang Yunqin et al
Affiliation:Xu Xinmin,Kuang Yujiu,Wang Yunqin et al Department of Pediatrics,Tongji Hospital,Tongji Medical University,Wuhan 430030
Abstract:The clinical and pathologic data of 20 children with simple proteinuria were analyzed. The results showed that 9 out of 20 cases (45%) were diagnosed as having renal functional proteinuria, (3 cases of OP, 3 cases of NCP, and 3 cases of OP associated with NCP);and the remaining cases (55%) having renal parenchyal proteinuria 9 cases of glumerular proteinuria (3 cases of MsPGN,1 case of IgAN,2 cases of IMN, 1 case of FSGS, 1 case of ML and 1 case of Alport syndrome), and 2 cases of renal tubular proteinuria The clinical features, main distinctive points and etiology about two kinds of proteinuria were discussed.It is proposed that OP and NCP should be excluded firstly before a renal biopsy is made
Keywords:renal disease   proteinuria   etiology   diagnosis
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