28例儿童肾病综合征继发急性肾功能衰竭的临床与病理分析

目的 :本文总结原发性肾病综合征继发急性肾功能衰竭的临床与病理。　方法 :收集我科 1991年 1月至1998年 7月 NS继发 ARF的住院患儿。　结果 :NS继发 ARF的患儿发生率为 3.9% ,临床上以少尿型为主( 75 % ) ,多数发生在 NS发病后 3个月内 ,起病均在 NS的急性期 ,发生 ARF前常常以感染作为诱因 ,经肾活检证实病理类型以 Ms PGN与 MCN最为多见 (二者占 82 .15 % )。　结论 :明确 NS继发 ARF,需尽早给予合适的或联合治疗 ,大多数病儿 ARF是可以逆转的

Clinical and pathological analysis of 28 cases ARF in primary nephrotic syndrome

Objectives: This paper concluded the clinic and pathology in nephrotic syndrome(NS) complicating acute renal failure (ARF). Methods: We collected patient with NS complicated ARF from January 1991 to July 1998. Results :This paper summarized the incidence of ARF in NS was 3.9%.The patients manifested oliguria type(75%),most ARF happened behind acute stage of nephrotic syndrome in three months,and induced as infection, main pathological types of ARF in NS were MCN and MsPGN(82.15%). Conclusions: Early treatment is needed if diagnosing NS complicated ARF,most patients of ARF in NS may recovery.