中国继续医学教育
中國繼續醫學教育
중국계속의학교육
China Continuing Medical Education
2015年
30期
82-83
,共2页
原发性肾病综合征%急性肾功能衰竭%临床分析
原髮性腎病綜閤徵%急性腎功能衰竭%臨床分析
원발성신병종합정%급성신공능쇠갈%림상분석
Primary nephrotic syndrome%Acute renal failure%Clinical analysis
目的：探讨原发性肾病综合征并发急性肾功能衰竭患者的临床特点。方法入选2013年6月～2015年6月在我院肾内科住院治疗的肾病综合征合并急性肾功能衰竭的患者56例，对所有患者的临床特点进行分析。结果男性发病率较高，占73.21%，45岁以下51例，占91.07%，B超检查52例肾脏体积正常，4例肾脏体积稍增大；所有患者均行肾穿刺病理检查，其中肾小球轻微病变型12例，系膜增生性肾小球肾炎14例，细膜毛细血管性肾小球肾炎12例，膜性肾病10例，局灶性节段性肾小球硬化8例。患者经治疗后尿量增多，水肿消退，血肌酐下降，肾功能好转，8例患者接受血液透析治疗，所有患者肾功能均在6周恢复正常。结论原发性肾病综合征并发急性肾功能衰竭是综合因素功能作用的结果，早期采取积极治疗后患者预后较好。
目的：探討原髮性腎病綜閤徵併髮急性腎功能衰竭患者的臨床特點。方法入選2013年6月～2015年6月在我院腎內科住院治療的腎病綜閤徵閤併急性腎功能衰竭的患者56例，對所有患者的臨床特點進行分析。結果男性髮病率較高，佔73.21%，45歲以下51例，佔91.07%，B超檢查52例腎髒體積正常，4例腎髒體積稍增大；所有患者均行腎穿刺病理檢查，其中腎小毬輕微病變型12例，繫膜增生性腎小毬腎炎14例，細膜毛細血管性腎小毬腎炎12例，膜性腎病10例，跼竈性節段性腎小毬硬化8例。患者經治療後尿量增多，水腫消退，血肌酐下降，腎功能好轉，8例患者接受血液透析治療，所有患者腎功能均在6週恢複正常。結論原髮性腎病綜閤徵併髮急性腎功能衰竭是綜閤因素功能作用的結果，早期採取積極治療後患者預後較好。
목적：탐토원발성신병종합정병발급성신공능쇠갈환자적림상특점。방법입선2013년6월～2015년6월재아원신내과주원치료적신병종합정합병급성신공능쇠갈적환자56례，대소유환자적림상특점진행분석。결과남성발병솔교고，점73.21%，45세이하51례，점91.07%，B초검사52례신장체적정상，4례신장체적초증대；소유환자균행신천자병리검사，기중신소구경미병변형12례，계막증생성신소구신염14례，세막모세혈관성신소구신염12례，막성신병10례，국조성절단성신소구경화8례。환자경치료후뇨량증다，수종소퇴，혈기항하강，신공능호전，8례환자접수혈액투석치료，소유환자신공능균재6주회복정상。결론원발성신병종합정병발급성신공능쇠갈시종합인소공능작용적결과，조기채취적겁치료후환자예후교호。
Objective To investigate the clinical characteristics of patients with acute renal failure complicated by primary nephrotic syndrome.Methods56 patients with nephrotic syndrome complicated with acute renal failure were selected from June 2013 to June 2015 in our hospital, and the clinical characteristics of all patients were analyzed.Results The incidence rate of male was higher, accounting for 73.21%, 51 cases of 45 years old, 52 cases of renal volume normal, 4 cases of renal volume was slightly increased, all patients underwent renal biopsy, including 12 cases of mild lesions, 14 cases of mesangial proliferative glomerulonephritis, 12 cases of membranous nephropathy, 8 cases of focal segmental glomerular sclerosis. After treatment, patients with urinary volume increased, edema subsided, blood creatinine decreased, renal function improved, 8 patients received hemodialysis treatment, all patients with renal function in 6 weeks to return to normal.ConclusionThe primary nephrotic syndrome complicated with acute renal failure is the result of comprehensive factors, and the prognosis of patients with early treatment is better.
