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按1977年北戴河肾脏病会议肾炎分型方案,将我院四年来住院患者81例分为肾病34例,肾病型肾炎47例(以下称肾炎组),分析对比了两组的临床表现,生化检查,肾功能测定,免疫学检查及治疗效果。发现在浮肿、蛋白尿,低白蛋白血症及高胆固醇血症上,两组几无区别。高血压与肾功能减退:肾病组较少,经治疗后全部恢复正常;肾炎组较多,且程度较重,经治疗后多数不能恢复正常。肾炎组的尿纤维蛋白降解产物(+)与非选择性蛋白尿较多。肾病组对激素与细胞毒类药物敏感,缓解率是肾炎组的9.4倍。肾病组发病年龄较肾炎组轻。 目前,普遍开展肾穿刺来明确诊断还有困难,因此,肾炎的临床分型尚有其实用价值,在估价患者对治疗反应与判断予后有一定的帮助。
According to the program of nephritis classification of the Beidaihe Nephropathy Conference in 1977, 81 cases of inpatients in our hospital for four years were divided into 34 cases of nephropathy and 47 cases of nephropathy (hereinafter referred to as nephritis group). The clinical manifestations, biochemical tests , Renal function tests, immunological tests and therapeutic effects. Found in edema, proteinuria, hypoalbuminemia and hypercholesterolemia, the two groups almost no difference. Hypertension and renal dysfunction: nephrosis less, all returned to normal after treatment; nephritis more, and to a greater extent, the majority can not return to normal after treatment. Nephritis group urinary fibrin degradation products (+) and non-selective proteinuria more. Nephropathy group is sensitive to hormones and cytotoxic drugs, the remission rate is 9.4 times that of nephritis group. Kidney disease group than the nephritis group onset age. At present, the general diagnosis of kidney puncture to have a clear diagnosis, therefore, the clinical classification of nephritis has its practical value, in the evaluation of patients after treatment response and judgments have some help.