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[儿童肾小球肾炎(GN)。I. 125名儿童的流行病学、临床特征及肾功能]

[Glomerulonephritis (GN) in childhood. I. Epidemiology, clinical aspects and kidney function in 125 children].

作者信息

Wolf S, Eggert W, Grossmann P, Ditscherlein G, Schneider W

出版信息

Z Urol Nephrol. 1987 Feb;80(2):97-104.

PMID:3591033
Abstract

The blood pressure, urinary symptoms (proteinuria, hematuria, casts), the albumin- and cholesterol concentration in the serum and the renal function (GFR, RPF) of 125 children with chronic glomerulonephritis (GN) were analysed. 76 children had only single symptoms (93% proteinuria, 33% hypertension), which indicated a GN. The serum albumin and cholesterol concentration were pathological in 43% of the patients and serum creatinine level was pathological in 20% of the children. After 6 years the individual courses of renal function demonstrated a deterioration of GFR and RPF for most of the children. It can be concluded, that the summary consideration of epidemiology, symptomatology and renal function of different glomerular lesions has only a limited application to the clinical practice.

摘要

对125例慢性肾小球肾炎(GN)患儿的血压、泌尿系统症状(蛋白尿、血尿、管型)、血清白蛋白和胆固醇浓度以及肾功能(肾小球滤过率、肾血浆流量)进行了分析。76例患儿仅有单一症状(93%为蛋白尿,33%为高血压),提示为肾小球肾炎。43%的患者血清白蛋白和胆固醇浓度异常,20%的患儿血清肌酐水平异常。6年后,大多数患儿的肾功能个体病程显示肾小球滤过率和肾血浆流量恶化。可以得出结论,对不同肾小球病变的流行病学、症状学和肾功能进行综合考虑在临床实践中的应用有限。

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