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[孤立性蛋白尿和血尿诊断中的临床与组织学对比研究]

[Comparative clinical and histological studies in the diagnosis of isolated proteinuria and hematuria].

作者信息

Korten G, Handschuck I, Osten B, Schmicker R, Tessmann D

出版信息

Z Gesamte Inn Med. 1976 Jun 15;31(22):441-4.

PMID:969775
Abstract

In 311 patients with clinical suspicion to glomerulonephritis biopsies of the kidneys were performed. In these cases in 82% the histological or tentative diagnosis, respectively, of a glomerulonephritis could be made. As diseases preceding the glomerulonephritis relapsing tonsillitides are occupying the first place, whereas scarlet fever, otitides, furunculoses and sinusitides were observed more infrequently. Clinically cases of oligosymptomatic glomerulonephritis were more frequently observed than monosymptomatic ones. One fifth of the patients exhibited a restricted renal function or a proteinuria of 3 g/24 hours, in which case proliferatively sclerosing, diffusely proliferative and membranaceous forms occupied the first place.

摘要

对311例临床怀疑患有肾小球肾炎的患者进行了肾脏活检。在这些病例中,分别有82%能够做出肾小球肾炎的组织学诊断或初步诊断。作为肾小球肾炎之前的疾病,复发性扁桃体炎位居首位,而猩红热、中耳炎、疖病和鼻窦炎则较少见。临床上,少症状性肾小球肾炎病例比单症状性病例更常见。五分之一的患者表现出肾功能受限或24小时蛋白尿3克,在这种情况下,增殖性硬化、弥漫性增殖和膜性形式位居首位。

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