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伴肺出血的急性非新月体性链球菌感染后肾小球肾炎

Acute noncrescentic poststreptococcal glomerulonephritis presenting with pulmonary hemorrhage.

作者信息

Gilboa N, McIntire S, Hopp L, Ellis D

机构信息

Division of Pediatric Nephrology, Children's Hospital of Pittsburgh, PA 15213.

出版信息

Pediatr Nephrol. 1993 Apr;7(2):147-50. doi: 10.1007/BF00864381.

Abstract

We report a child with acute poststreptococcal noncrescentic glomerulonephritis and pulmonary hemorrhage. This patient demonstrates that: (1) poststreptococcal noncrescentic glomerulonephritis in children can be associated with pulmonary hemorrhage, (2) an expeditious renal biopsy in patients with acute or rapidly progressive glomerulonephritis and pulmonary hemorrhage can establish an early diagnosis and provide timely guidance for treatment, and (3) although not proven by controlled studies, the intravenous administration of methylprednisolone in our patient may have been effective in the treatment of pulmonary hemorrhage.

摘要

我们报告了一名患有急性链球菌感染后非新月体性肾小球肾炎和肺出血的儿童。该患者表明:(1)儿童急性链球菌感染后非新月体性肾小球肾炎可与肺出血相关;(2)对于患有急性或快速进展性肾小球肾炎及肺出血的患者,进行快速肾活检可早期诊断并为治疗提供及时指导;(3)尽管缺乏对照研究的证实,但在我们的患者中静脉注射甲泼尼龙可能对肺出血的治疗有效。

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