老年肾病综合征的诊治

Diagnosis and treatment of nephrotic syndrome in the elderly

肾病综合征是老年肾小球疾病常见的临床类型。老年人的肾病综合征在病理类型、临床表现以及诊断上都有其自身特点。肾活检是老年肾病综合征患者诊断的重要手段,病理以原发性为主,其中以膜性肾病最为常见;淀粉样变、糖尿病肾病是常见的继发性原因。老年肾病综合征的治疗不仅要遵循成熟的规范化方案,也要根据老年患者自身的年龄及身体特点,制定个体化的治疗方案。

Nephrotic syndrome is a common clinical type of glomerular diseases in the elderly and has its own characteristics in the pathological types,clinical manifestations and diagnoses. Renal biopsy is an important diagnostic method for patients with senile nephrotic syndrome. Membranous nephropathy is the most common primary pathology,while amyloidosis and diabetic nephropathy are common secondary causes. Individualized treatments should be performed according to ages and physical characteristics of the elderly patients.