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25例IgA肾病临床病理分析
引用本文:于琳华,魏西秦,郭尚温,李恒力,冯雪亮,杜锦凤,尹爱萍.25例IgA肾病临床病理分析[J].西安交通大学学报(医学版),1991(3).
作者姓名:于琳华  魏西秦  郭尚温  李恒力  冯雪亮  杜锦凤  尹爱萍
作者单位:西安医科大学病理解剖学教研室 (于琳华,魏西秦,郭尚温,李恒力),西安医科大学第一附属医院内科学教研室 (冯雪亮,杜锦凤),西安医科大学第一附属医院内科学教研室(尹爱萍)
摘    要:IgA肾病25例,占同期原发性肾小球肾炎的41.7%。肾组织病变损害程度分Ⅰ-Ⅴ级,呈Ⅳ级以上重度损害者占28%。临床表现为反复发作性肉眼血尿者占32%,重度蛋白尿(>3.5g/d)者占40%,呈肾病综合症表现者占36%。本文病例肾活检距发病时间较短,平均为16.5个月,没有1例发生肾功衰竭,其原因可能与检查诊断较早,治疗及时等因素有关。

关 键 词:IgA  肾病  肾小球炎  肾活检

CLINICOPATHOLOGIC ANALYSIS OF 25 CASES OF IgA NEPHROPATHY
Yu Linhua,Feng Xueliang,Wei Xiqin,et al.CLINICOPATHOLOGIC ANALYSIS OF 25 CASES OF IgA NEPHROPATHY[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1991(3).
Authors:Yu Linhua  Feng Xueliang  Wei Xiqin  
Institution:Yu Linhua;Feng Xueliang;Wei Xiqin;et al Department of Pathology
Abstract:In this report 25 cases of IgA nephropathy weredescribed. They accounted for 41.7% of the cases with pri-mary glomerulone phritis in the same period. The de-gree of histopathological damage was divided into fivegrades 28% cases of the total were Ⅳ and Ⅴ grade inwhich pathological damage was severe damdge. Theclinical manifestation was vary ?iffrent 32% casesrecurrent macroscopie hernaturia, 40% cases had largeamounts of protein in their urine(>73.5g/d).36% caseshave shown nephrotic syndrome. Following the diseaseattack there is a short period from renalbiopsy. themean is 16.5 months. None of these cases had renalfunctional impairement, for these cases were early ex-ha?umined diagnosed and treated.
Keywords:IgA  nephropathy glomerulonephriti  renalbiopsy
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