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非典型溶血尿毒综合征发病机制和治疗研究进展
引用本文:张婕,夏正坤,刘光陵.非典型溶血尿毒综合征发病机制和治疗研究进展[J].临床儿科杂志,2012,30(4):393-396.
作者姓名:张婕  夏正坤  刘光陵
作者单位:南京军区南京总医院儿科南京大学医学院临床学院,江苏南京,210002
摘    要:非典型溶血尿毒综合征(atypical haemolytic uraemic syndrome,aHUS)是一种补体失调性疾病,补体调控蛋白H因子、I因子,以及膜辅助蛋白和血清补体固有成分(B因子、补体C3)的基因突变都可参与其发病,病情易反复,预后很差,25%的患者在急性期死亡,50%以上发展为终末期肾病。因此aHUS的发病机制及治疗一直是研究热点,文章就这两个方面的研究进展作了综述。

关 键 词:非典型溶血尿毒综合征  发病机制  治疗

Research progress in the pathogenesis and treatment of atypical hemolytic uremic syndrome
ZHANG Jie , XIA Zheng-kun , LIU Guang-ling.Research progress in the pathogenesis and treatment of atypical hemolytic uremic syndrome[J].The Journal of Clinical Pediatrics,2012,30(4):393-396.
Authors:ZHANG Jie  XIA Zheng-kun  LIU Guang-ling
Institution:(Department of Pediatrics,Nanjing General Hospital of Nanjing Military Command,Nanjing University School of Clinical Medicine,Nanjing 210002,Jiangsu,China)
Abstract:Atypical haemolytic uraemic syndrome(aHUS)is an uncommon condition that is now widely accepted to be a disorder of complement over activation.Mutations have been identified in genes encoding complement regulators(complement factor H and complement factor I),membrane cofactor protein(MCP)and complement activators(complement factor B and C3).It frequent recurs and carries a poorer prognosis with a 25% mortality rate and 50% developing end-stage renal failure.Therefore,the pathogenesis and treatment of aHUS has been a research focus.These two aspects of the research progress were reviewed.
Keywords:atypical haemolytic uraemic syndrome  pathogenesis  treatment
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