小儿急性肾功能衰竭100例临床分析

介绍１００例小儿急性肾功能衰竭（ＡＲＦ）的病因、临床表现、实验室检查、病理及预后。肾前性１３例（１３％），肾性８６例（８６％），其中肾小球疾病６６例（６６％），肾后性１例（１％）。３１例肾活检，病理为９种类型，毛细血管内增生性肾小球肾炎（ＥｎＰＧＮ）８例（２５．８１％），系膜增殖性肾小球肾炎（ＭｓＰＧＮ）４例（１２．９０％），膜增殖性肾小球肾炎（ＭＰＧＮ）Ｉ型５例（１６．１３％），局灶节段性肾小球

CLINICAL ANALYSIS OF 100 CASES OFACUTE RENAL FAILURE IN CHILDREN

he pathogeny, symptorn, results of laboratorycheck, pathology and prognosis of 100 cases of acuterenal failure (ARF) in children with treating in our de-partment from year of 1981 to December of year of1993 are introduced. The cases of prior kidney ARFwere 13% of all the cases (13 cases) and the cases ofinner kidney ARF were 86% of all the sick children(86 cases)while the cases of post kidney ARF were 1%of the all (1 case). The cases of the damage of glomeru-lus of kidney were 66% of all the inner kidney ARF( 66 cases ) . Among the 31 cases of renal biopsy , 9 kindsof pathological pattern existed. The cases of endocapil-lary proliferative glomerulonephritis (EnPGN) were 8cases (25. 81%). The cases of mesangioproliferativeglomerulonephritis (MsPGN) were 4 cases (12. 90% ). The cases of type-1 membranoproliferative glomeru-lonephritis (MPGN-1) were 5 cases (16. 13%) . Thecases of focal segmental glomerulosclerosis (FSGS)were 3 cases (9. 68% ) . The cases of proliferate scleros-ing glomerulonephritis (PSGN) werw 5 cases(16. 13 %) . The article emphasizes the clinical signifi-cance of renal biopsy and the analysis to the prognosisin ARF of children.