CAJ | 학술논문

目的：探究肾功能不全患儿的临床病理特点，为临床提供参考。方法回顾性分析2010年1月-2014年12期间在该院收治的50例儿童慢性肾功能不全患者的临床资料，对50例患儿的病因、临床特点，情况进行分析。结果①在50例儿童慢性肾功能不全的患者中，获得性肾小球疾病33例，占66%。先天性肾脏畸形12例，占24%。②儿童慢性肾功能不全主要临床表现为肾性贫血、高血压、电解质紊乱、代谢性酸中毒、生长发育迟缓和感染等。③50例慢性肾功能不全患儿均有贫血，血红蛋白与血肌酐呈负相关关系[结论过于笼统，没有针对结果。结论小儿肾功能不全以获得性肾小球为主要发病原因，肾功能减退越明显，贫血越重。临床上慢性肾脏疾病患儿如出现持续性贫血时应警惕发生肾功能不全的可能，可借助于贫血的程度帮助估计肾功能不全的严重程度，尽早治疗，提高生存质量。
목적：탐구신공능불전환인적림상병리특점，위림상제공삼고。방법회고성분석2010년1월-2014년12기간재해원수치적50례인동만성신공능불전환자적림상자료，대50례환인적병인、림상특점，정황진행분석。결과①재50례인동만성신공능불전적환자중，획득성신소구질병33례，점66%。선천성신장기형12례，점24%。②인동만성신공능불전주요림상표현위신성빈혈、고혈압、전해질문란、대사성산중독、생장발육지완화감염등。③50례만성신공능불전환인균유빈혈，혈홍단백여혈기항정부상관관계[결론과우롱통，몰유침대결과。결론소인신공능불전이획득성신소구위주요발병원인，신공능감퇴월명현，빈혈월중。림상상만성신장질병환인여출현지속성빈혈시응경척발생신공능불전적가능，가차조우빈혈적정도방조고계신공능불전적엄중정도，진조치료，제고생존질량。
Objective To explore the clinical and pathological features of renal insufficiency in children, and provide reference for clinical. Methods A retrospective analysis from January 2010 to December 2014 in our hospital 50 cases of chronic renal insuffi-ciency in children patients with the clinical data of 50 cases of children, etiology, clinical features, case analysis. Results In 50 patients with chronic renal insufficiency in children acquired glomerular disease in 33 cases, accounting for 66%. Congenital renal malformation in 12 cases, accounting for 24%. The children with chronic renal insufficiency the main clinical manifestations of re-nal anemia, hypertension, electrolyte disturbances, metabolic acidosis, growth retardation and infection. In 50 cases of chronic re-nal insufficiency patients had anemia, a negative relationship between hemoglobin and serum creatinine. Conclusion Children with renal insufficiency to obtain glomerulonephritis as the main cause of disease, renal dysfunction is more obvious, more severe ane-mia. Clinical on children with chronic kidney diseases such as alert the occurrence of renal insufficiency may be persistent anemi-a, with the degree of anemia to help assess the severity, renal insufficiency treatment as soon as possible, improve the quality of life.