小儿乙型肝炎相关性肾炎24例报告

乙型肝炎相关性肾炎,有逐年增多的趋势.本文收集1979～1984年的乙型肝炎肾炎24例,其临床表现及主要实验室资料,均支持诊断。乙型肝炎常表现为肝外损害,有时成为首发病征或综合征:如肾小球肾炎、心肌炎、关节炎、胃肠炎或血清病等。乙型肝炎肾炎也是免疫复合物性肾炎之一,其病因与慢活肝有关,与患儿的免疫功能障碍亦有关。常采用综合治疗,保护肝脏;免疫兴奋治疗,如输血或血浆,胸腺素或左旋咪唑等,均可获得较好的效果。

HEPATITIS B ASSOCIATED WITH GLOMERULONEPHRITIS IN CHILDREN——REPORT OF 24 CASES

Hepatitis B associated with glomerulonephritis (HB-GN) has been increasing year after yea-r Tehispaper reports 24 cases of HE-GN treated between 1979 and 1984 whose clinical manifesta tion(?)the laboratory data confirmed the diagnosis. Our observations show that HB is mor often associated with extrahepatic lesions, sometimes appearing as the initial disorder or syndrome, including glomerulonephritis, carditis, arthritins, gastrocntentis and/or serum sickness, etc. HB-GN is also a kind of immune complex GN, whose pathogenesis is usually associatede with chronic active hepatitis, especially a decrease in the immune function of the Patient. Complex treatment, including liver Protection and immune stimulant treatment (blood and/or Plasma transfusion, thymosin, or levamisole)could give a better therapeutic effect.