CAJ | 학술논문

目的：分析2型糖尿病患者伴原发性肾病综合征的临床病理性特点，并指出患者予以肾活检推荐指征。方法回顾性分析2012年12月—2014年12月该院8例2型糖尿病伴原发性肾病综合征患者临床资料，分析其临床病理性特点。结果2型糖尿病伴原发性的肾小球类疾病，表现可为肾病综合征；对糖尿病的病史短、没有肾功能性不全、全身情况较好的肾病综合征，可高度显示伴原发性的肾小球类疾病存在；采用糖皮质类激素治疗的安全性高。结论若有蛋白尿、没有视网膜类病变、糖尿病的病史短等可疑的因素出现，需积极予以肾穿刺进行检查；若患者伴原发性的肾病综合征，此时糖尿病并不是予糖皮质类激素禁忌症。
목적：분석2형당뇨병환자반원발성신병종합정적림상병이성특점，병지출환자여이신활검추천지정。방법회고성분석2012년12월—2014년12월해원8례2형당뇨병반원발성신병종합정환자림상자료，분석기림상병이성특점。결과2형당뇨병반원발성적신소구류질병，표현가위신병종합정；대당뇨병적병사단、몰유신공능성불전、전신정황교호적신병종합정，가고도현시반원발성적신소구류질병존재；채용당피질류격소치료적안전성고。결론약유단백뇨、몰유시망막류병변、당뇨병적병사단등가의적인소출현，수적겁여이신천자진행검사；약환자반원발성적신병종합정，차시당뇨병병불시여당피질류격소금기증。
Objective To analyze the clinical and pathological features of patients with type 2 diabetes mellitus with prima-ry nephrotic syndrome, and to point out the indication of renal biopsy. Methods The clinical data of 2 patients with primary nephrotic syndrome in our hospital from December December to 2012 were analyzed retrospectively. The clinical data of 8 patients with primary nephrotic syndrome were analyzed retrospectively. Results In type 2 diabetic patients with primary glomerular diseases, the performance can be as nephrotic syndrome; short history of diabetes, no renal function is not full, systemic situation better nephrotic syndrome, height display with primary glomerular diseases exist; safety uses the sugar cortical hormone treatment. Conclusion If proteinuria, no short history of retinal disease, diabetes mellitus, suspicious fac-tors appear, need to actively renal biopsy were examined; if the patients with primary nephrotic syndrome, when diabetes is not given glucocorticoids contraindications.