在老年人的肾脏疾病中肾脏血管性损害占首位,肾盂肾炎占第二位。但肾石病、肾病、肾肿瘤、药物性肾损害和肾结核是引起老年人肾功能不全(RF)的最常见原因;而肾小球肾炎(GN)和亚临床经过的病毒后血管炎则较少引起RF。老年人多发性微动脉炎(MPA)伴发亚急性GN罕见,作者遇见1例,现报告如下。患者,女,76岁。因发冷、微热、恶心,有时呕吐并出现劳力性心绞痛(Ⅱ级)发作1个月的主诉 Renal vascular lesions in the elderly in the first place, pyelonephritis accounted for second place. However, nephrolithiasis, nephropathy, kidney neoplasms, drug-induced nephropathy, and renal tuberculosis are the most common causes of renal insufficiency (RF) in the elderly; glomerulonephritis (GN) and subclinical post-viral vasculitis Less causing RF. Senile multiple arteritis (MPA) associated with subacute GN rare, the authors met in 1 case, are as follows. Patient, female, 76 years old. Due to chills, fever, nausea, and sometimes vomiting and exertional angina pectoris (grade Ⅱ) onset of 1 month chief complaint