| 原发性肾病综合征并发急性肾功能衰竭17例分析 |
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| 引用本文： | 齐慧茹 于力. 原发性肾病综合征并发急性肾功能衰竭17例分析[J]. 中华儿科杂志, 1996, 34(2): 105-107 |
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| 作者姓名： | 齐慧茹 于力 |
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| 作者单位： | 北京医科大学第一临床学院妇儿医院，解放军第二六二医院 |
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| 摘 要： | 为探讨原发性肾病综合征（ＮＳ）并发急性肾功能衰竭（ＡＲＦ）的临床及病理特点，对３３５例ＮＳ中并发ＡＲＦ的１７例患儿的临床资料及其中８例的病理类型进行了分析。结果显示：本组ＮＳ患儿ＡＲＦ的发生率为５．１％。临床特点：（１）ＡＲＦ均发生于肾病活动期；（２）多以感染为诱因；（３）大多数为少尿型；（４）临床表现为水肿加重、血压增高；（５）肾活检呈多种病理改变（８例中１例为轻微肾小球病变，２例为中度系膜增生性肾小球肾炎，２例为膜增殖性肾小球肾炎Ｉ型，２例为局灶性节段性肾小球硬化。１例为增生性硬化性肾小球肾炎）。本组死亡４例，临床转归与病理类型相关。提示在ＮＳ活动期应减少诱因，防止ＡＲＦ的发生。了解病理类型对ＮＳ合并ＡＲＦ的治疗及判断预后具有指导意义。
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| 关 键 词： | 肾变病综合征 肾衰竭.急性 |
Analysisof17casesofacuterenalfailureinprimarynephroticsyndrome |
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| QiHuiru,YuLi,YangJiyun,et al.. Analysisof17casesofacuterenalfailureinprimarynephroticsyndrome[J]. Chinese journal of pediatrics, 1996, 34(2): 105-107 |
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| Authors: | QiHuiru YuLi YangJiyun et al. |
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| Affiliation: | QiHuiru,YuLi,YangJiyun,etal.DepartmentofPediatrics,TheFirstTeachingHospitalofBeijingMedicalUniversity,Beijing100034 |
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| Abstract: | Theclinicalandpathologicaldataof17childrenwithacuterenalfailure(ARF)a-mong335casesofprimarynephroticsyndrome(NS)werestudied.TheincidenceofARFinNSwas5.1%.Theclinicalfeaturesincluded:(1)ARFoccuredduringactivestageofNSwithoutexcep-tion;(2)mostofthemwereprecipitatedbyinfection;(3)mostofthemmanifestedasanoliguriatype;(4)edemaandhypertensionofthecaseswerealdeteriorated;(5)variouspathologicalchangeswerefound,glomerularminorlesionin1case,mesangialproliferativeglomerulonephritisin2cases,membranoproliferativeglomerulonephritisin2cases,focalsegmentalglomerulosclerosisin2cases,andproliferativesclerosingglomerulonephritisin1case.Fourofthepatientsdied. |
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| Keywords: | NephroticsyndromeRenalfailure acute |
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