摘要
对２０例单纯性蛋白尿的临床和病理资料进行分析。结果发现，肾功能性蛋白尿９例（４５％），其中直立性蛋白尿（ＯＰ）、胡桃夹现象（ＮＣＰ）各３例，ＯＰ并ＮＣＰ３例；肾实质性蛋白尿１１例（５５％），其中肾小球性蛋白尿９例〔系膜增生性肾炎（ＭｓＰＧＮ）３例，ＩｇＡ肾病（ＩｇＡＮ）１例，特发性膜性肾病（ＩＭＮ）２例，局灶性节段性肾小球硬化（ＦＳＧＮ）、轻微病变（ＭＬ）、Ａｌｐｏｒｔ综合征（ＡＳ）各１例〕，肾小管性蛋白尿２例。对两类蛋白尿的临床特征及鉴别要点和病因进行了讨论，建议应先初筛有无ＯＰ和ＮＣＰ，然后再酌情进行肾活检。
The clinical and pathologic data of 20 children with simple proteinuria were analyzed. The results showed that 9 out of 20 cases (45%) were diagnosed as having renal functional proteinuria, (3 cases of OP, 3 cases of NCP, and 3 cases of OP associated with NCP);and the remaining cases (55%) having renal parenchyal proteinuria 9 cases of glumerular proteinuria (3 cases of MsPGN,1 case of IgAN,2 cases of IMN, 1 case of FSGS, 1 case of ML and 1 case of Alport syndrome), and 2 cases of renal tubular proteinuria The clinical features, main distinctive points and etiology about two kinds of proteinuria were discussed.It is proposed that OP and NCP should be excluded firstly before a renal biopsy is made
出处
《同济医科大学学报》
CSCD
1999年第3期269-271,共3页
Acta Universitatis Medicinae Tongji
关键词
蛋白尿
病因
诊断
儿童
renal disease
\ proteinuria
\ etiology
\ diagnosis
