儿童肺炎支原体感染合并急性肾小球肾炎及肾病综合征临床分析

目的 :探讨儿童肺炎支原体 (MP)感染合并急性肾小球肾炎、肾病综合征的临床特点。方法 :观察支原体感染合并急性肾小球肾炎、肾病综合征及其它原因所致的感染后肾炎、肾病综合征的临床表现 ,并进行比较分析。结果 :儿童肺炎支原体感染合并急性肾小球肾炎、肾病占同期住院急性肾小球肾炎、肾病患儿的 18.6 %、35 %。支原体感染后、链球菌感染后、其它原因所致的感染后肾炎在发病年龄、性别、临床症状上无显著差异 ,但支原体感染合并肾病综合征水肿、蛋白尿持续时间、发病年龄、性别与原发性肾病有显著差异。结论 :儿童肺炎支原体感染合并急性肾小球肾炎、肾病是目前本地区儿童急性小球肾炎及肾病的重要病因之一 ,应引起重视。

Clinical Study on Mycoplasma Pneumoniae Associated Nephritis and Nephrotic Syndrome in Children

Objective:To study clinical features of mycoplasma pneumoniae associated with nephritis and nephrotic syndrome in child ren. Methods :To view all children with acute nephritis(devi ded into three groups:post streptococcal glomerulonephritis,mycoplasma pneumonia e associated with glomerulonephritis and others) and nephrotic syndrome(mycoplas ma pneumoniae associated and primary),to analyse their clinical features. Results:Of all the objects,18.6% and 35% were mycoplasma pneumonia e associated with nephritis and nephrotic syndrome,which presented acute nephri tis syndrome and nephrotic syndrome.There were no significant difference between the three groups of nephritis on the frequence and the length of edema, high bl ood pressure and hematuria.But there was significant difference between the two groups of nephrotic syndrome on the age, sex, the length of edema and proteinuri a. Conclusiuon:Mycoplasma pneumoniae associated with nephriti s and nephrotic syndrome are the main cause of nephritis and nephrotic syndrome in children in the zone, which should be taken more attention. [