急性肾小球肾炎是一组因感染后免疫反应所引起的肾小球疾病,临床急性起病,发病早期可有肺部X线改变,我院儿科1981年～1990年确诊住院的急性肾炎共280例,入院初均作胸部X线检查,现将其中具有肺部X线改变的139例进行临床分析并对其发生机制进行探讨。 1 临床资料 1.1 一般资料男89例,女50例,男:女=1.78:1。发病年龄2 3/12岁～13岁,其中5～13岁125例(89.9％),5岁以下14例(10.1％)。发病前有明显前驱感染者112例(80.6％)。 1.2 临床表现 1.2.1 主要症状浮肿129例(92.8％),少尿115 Acute glomerulonephritis is a group of glomerular diseases caused by immune reaction after infection, acute onset of clinical, early onset may have pulmonary X-ray changes, our hospital pediatric 1981 ~ 1990 confirmed the hospitalization of acute nephritis 280 cases were admitted to the hospital early chest X-ray examination, now with pulmonary X-ray changes in 139 cases of clinical analysis and to explore its mechanism. 1 Clinical data 1.1 General information Male 89 cases, female 50 cases, male: female = 1.78: 1. The age of onset was 2 3/12 years old to 13 years old, of which 125 cases (89.9%) were 5-13 years old and 14 cases (10.1%) under 5 years old. Before the onset of obvious precursor infection in 112 patients (80.6%). 1.2 Clinical manifestations 1.2.1 The main symptoms of edema in 129 cases (92.8%), oliguria 115