摘要
IgA肾病是全球最常见的原发性肾小球疾病中的一种,其发病机制复杂,临床表现多样化,故缺乏统一的治疗标准。目前临床治疗主要是结合肾组织病理改变对症治疗。反复发作肉眼血尿型主要是去除诱因,扁桃体切除可作为一种治疗手段。孤立性镜下血尿型主要是定期复查。有蛋白尿和/或高血压、肾功能不全患者,血管紧张素转换酶抑制剂可根据情况选择,必要时应用免疫抑制剂。
The pathogenesis of IgA nephropathy which is one of the most frequent primary gomerulopathy in the world is complex. It's clinical manifestat ions are diversity.So we are lack of unitive treatment standard.Recently, clinical treatment is mainly combined to pathology modify of nephridial tissue.Recurrent macroscopic hematuria is major to remove motivation and tonsil excision can be one of therapeutic tools.Isolated microscopic hematuria is major to regular to recheck.The patients who hasve proteinuria and/or hypertension,renal inadequacy can choose angiotensin converting enzyme inhibitor according to situation or immunosuppressive agent pro re nate.
出处
《疾病监测与控制》
2009年第3期182-183,共2页
Journal of Diseases Monitor and Control
关键词
IGA
肾病
治疗
IgA nephropathy
treatment