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5例急性链球菌感染后肾小球肾炎伴急性肾衰竭及肾病综合征

[Five cases of acute poststreptococcal glomerulonephritis with acute renal failure and nephrotic syndrome].

作者信息

Niimi Kazuhiko, Ide Ken, Tsuru Noboru

机构信息

Department of Pediatrics, School of Medicine, Fukuoka University, Fukuoka, Japan.

出版信息

Nihon Jinzo Gakkai Shi. 2002 Jan;44(1):29-33.

Abstract

During the period of 27 years from 1974 to 2000, acute episodes were studied retrospectively in 130 patients under 14 years of age with poststreptococcal acute glomerulonephritis(PSAGN). PSAGN cases have a variable clinical presentation from asymptomatic to severe oliguric acute renal failure(ARF). Proteinuria is nearly always present, but is less than 3.5 g/day. Nephrotic syndrome(NS) is not commonly observed in PSAGN. Among 130 patients, 5 cases had NS with ARF. The present study investigated a spectrum of NS with ARF and the significance of clinical features in PSAGN.

摘要

在1974年至2000年的27年期间,对130例14岁以下患有链球菌感染后急性肾小球肾炎(PSAGN)的患者的急性发作情况进行了回顾性研究。PSAGN病例的临床表现各不相同,从无症状到严重少尿性急性肾衰竭(ARF)。蛋白尿几乎总是存在,但每天少于3.5克。肾病综合征(NS)在PSAGN中并不常见。在130例患者中,有5例患有伴有ARF的NS。本研究调查了伴有ARF的NS的一系列情况以及PSAGN临床特征的意义。

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