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儿童期肾小球肾炎合并终末期肝病

Glomerulonephritis with end-stage liver disease in childhood.

作者信息

Noble-Jamieson G, Thiru S, Johnston P, Friend P, Barnes N D

机构信息

Department of Paediatrics, Addenbrooke's Hospital, Cambridge, UK.

出版信息

Lancet. 1992 Mar 21;339(8795):706-7. doi: 10.1016/0140-6736(92)90600-8.

Abstract

Renal biopsies were done perioperatively in 18 children receiving liver grafts. All specimens showed glomerulonephritis, which was mesangial-proliferative in 15 and mesangio-capillary in 3. Of the 16 children who were alive four or more months after transplantation, only 1 showed progressive deterioration of renal function; 1 other had a subnormal but static glomerular filtration rate. In all 6 children who had proteinuria before operation, the urine became normal.

摘要

对18例接受肝移植的儿童在围手术期进行了肾活检。所有标本均显示肾小球肾炎,其中15例为系膜增生性,3例为系膜毛细血管性。在移植后存活4个月或更长时间的16例儿童中,只有1例出现肾功能进行性恶化;另1例肾小球滤过率低于正常但稳定。术前有蛋白尿的6例儿童,术后尿蛋白均恢复正常。

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