原发性肾病综合征并发急性肾衰18例因素分析

目的探讨原发性肾病综合征（PNS）并发急性肾衰竭（ARF）的临床相关因素，治疗方法及预后。方法回顾性分析412例PNS并发ARF的18例患者的临床特征，治疗方法及预后。结果PNS并发ARF的发生率为4．5％．临床以少尿型为主（83％），起病均在PNS的急性期。经过利尿，泼尼松结合中药黄芪治疗后，15例患者肾功能恢复正常（83．3％）。结论PNS并发ARF并非少见，临床以少尿型为主，多伴有高凝状态。早期诊断，治疗应兼顾PNS和ARF两个环节，大多数病情可逆转。

Analysis on Relative Factors of Acute Renal Failure Complicated by Primary Nephritic Syndrome in 18 Cases

Objective To explore the clinical characteristics, treatments and prognosis of primary nephritic syndrome (PNS) complicate with acute renal failure (ARF). Methods 18 cases of PNS complicate with ARF were selected from 412 cases primary nephritic syndrome and retrospective analysis the clinical characteristics, treatments and prognosis. Results The incidence of ARF in PNS was 4.5%. The patients manifested oliguria type (83%). Most ARF happened in acute stage. After treating with diuretics prednisone and Chinese medicine Huangqi, the renal function in 15 cases recovered (83.3%). Conclusions It is show that ARF in PNS is not scarce. The patients manifested oliguria type. Urinary output should be observed to find early ARF. PNS and ARF must be treated together, and most ARF is reversible.