小儿肾病综合征246例临床分析

目的 对小儿肾病综合征作临床分析。方法 运用病例回顾性分析方法，分析246例临床资料完整的肾病综合征。结果 单纯性肾病156例，肾炎性肾病90例；单独使用激素治疗单纯性肾病109例和肾炎性肾病52例达到完全缓解；联合使用免疫抑制剂治疗85例，59例达到完全缓解，18例部分缓解。32例复发病例中，有12例为单纯性肾病，20例为肾炎性肾病。结论 单纯用激素治疗可使大部分病例达到完全缓解，加用免疫抑制剂可提高疗效。单纯性肾病预后较肾炎性肾病好，复发率低。

Clinical analysis of 246 infant nephritic syndrome cases

Objective To analyze the results in diagnosis and treatment of infant nephritic syndrome cases. Methods 246 infant nephritic nephrotic syndrome cases were respectively analyzed. Results Of the 246 infant cases 156 were simple nephritic syndrome cases and 90 were nephritis nephritic syndrome cases . 109 infant nephritic syndrome cases and 52 nephritis syndrome cases were completely relieved after treated with glucocorticosteroid. And 59 cases out of 85 treated in combination with immunosupressant were completely relieved. Of the 32 recurrent cases 12 were simple nephritic syndrome cases and 20 were nephritis nephrotic syndrome cases. Conclusion Completely relieve can be achieved in most of the cases after treated only with glucocoticosteroid and the therapeutic effect can be enhanced if immunosupressant is combinedly used. The prognosis of simple nephritic syndrome is relatively good with low recurrent rate.