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小儿急性肾炎时微循环功能状态的研究
引用本文:王吉安,曹容珍. 小儿急性肾炎时微循环功能状态的研究[J]. 西安交通大学学报(医学版), 1982, 0(3)
作者姓名:王吉安  曹容珍
作者单位:西安医学院第一附属医院儿科(王吉安),西安医学院第一附属医院儿科(曹容珍)
摘    要:急性肾炎时的主要病理改变为全身小动脉的痉挛,而导致各系统各内脏不同程度的缺血性损害,进一步引起相应的功能损害,表现为全身性疾病。从本组球结膜微循环的检查、肺—肾血流图的检查及同位素肾动态检查等,都有一致的异常改变,也都从不同的角度来评价肾功,有较大的意义,还可指导用药。所以肾炎时扩张血管类药物的应用及中医活血化淤的原理是符合病理生理的。我们的工作刚开始,观察的病例较少,还有一些不足之处,拟今后改进提高,请同志们批评指正。


A Study on Microcirculation in Children with Acute Glomerulonephritis
Abstract:Our observation was done with conjunctival microcirculation, pulmona-ry rheography and renal rheography in 20 cases with acute glomerulonephri-tis. High resistance of pulmonary rheography was observed and ischemicchanges were found in renal rheography when spasm of the conjunctivalarterioles appeared in 20 cases. 58. 7% of 29 patients were abnormal duringradiorenographic examination. Most cases showed damage to both kidneys,indicating the kidney disfunctioning caus ed by renal circulatory disorderswhen patients were suffering from nephritis. Changes seen in conjunctival microcirculation, rheography and radio-renography were consistently abnormal at the acute stage. At the convalesc-ent stage, however, improvement to different degrees was gained. Therefore,these laboratory studies can be used as index for the selection of vasodila-tor drugs and for the justification of the prognosis of the disease.
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