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中国与印度儿童激素耐药型肾病综合征诊治指南比较 被引量:1

Comparison of Chinese Guidelines with Indian Guidelines for Management of Steroid-Resistant Nephrotic Syndrome in Children
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摘要 我国与印度的儿童激素耐药型肾病综合征(SRNS)的诊治指南均指出了SRNS治疗的复杂性、棘手性,并建议对SRNS患儿进行肾活检,以明确其病理诊断;但在SRNS的定义、转诊指征、基因突变分析指征、免疫抑制剂选择等方面存在差异。借鉴印度指南,对我国指南的修订提出以下几点建议:1.将SRNS定义中的"泼尼松足量治疗"改为"泼尼松2 mg.kg-1.d-1或60 mg.m-2.d-1治疗",删除"除外感染、遗传等因素所致者";2.增加转诊指征;3.增加基因突变分析指征;4.治疗上不宜过于强调按肾脏病理类型选择免疫抑制剂。
作者 余自华 易玲
出处 《实用儿科临床杂志》 CAS CSCD 北大核心 2012年第17期1375-1376,共2页 Journal of Applied Clinical Pediatrics
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