急性肾小球肾炎肾病型26例临床分析

Acute poststreptococcal glomerulonephritis with nephrotic syndrome: Report of 26 cases

摘要: 目的: 分析和评价急性链球菌感染后肾小球肾炎肾病型的临床特征及预后。方法: 对我院1993~2001年住院患者中符合标准者进行观察和门诊随访的资料进行分析。结果: 水肿5~35天消失,蛋白尿2周~3个月消失,血压7~28天恢复正常,血尿8天~19个月消失。所有患儿均治愈,无死亡病例。结论: 急性链球菌感染后肾小球肾炎肾病型的临床表现较重,肉眼血尿和蛋白尿持续时间较长。经长期随访观察,绝大多数预后良好。

Abstract: Objective: To observe the presentation and prognosis of acute poststreptococcal glomerulonephritis with nephrotic syndrome(APSGN with NS).Methods: The clinical data of a homogeneous group of 26 patients hospitalized and followed-up for APSGN with NS in our department(1993 to 2001) were analyzed.Results: Edema resolved within 5 to 35 days,proteinuria disappeared within 2 weeks to 3 months,BP returned to normal within 7 to 28 days,and hematusia disappeared within 8 days to 19 months.All the cases were cured and no one died.Conclusions: APSGN with NS is associated with severe clinical presentation.Gross hematuria and proteinuria exist continuously for a long period.Long term follow-up shows that the prognosis of majority of them is good.