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肾炎型肾病综合征113例临床分析

NEPHRITIC TYPE OF NEPHROTIC SYNDROME: CLINICAL ANALYSIS OF 113 CASES
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摘要 1965~1976年北京市11个儿科单位收治了肾病综合征580例,其中113例为肾炎型。具有显著血尿、高血压或肾功能不全者称肾炎型,其它称单纯型。113例肾炎型中,48例单用环磷酰胺或与强的松联合治疗,其余病例用强的松治疗。多数病例都合用了中医治疗。肾炎型分析并与单纯型比较如下:(1)肾炎型浮肿及蛋白尿消失都比单纯型晚,在环磷酰胺组更明显;(2)在疗程完成时,肾炎型完全缓解率约60%,单纯型约90%,(3)在环磷酰胺组肾炎型与单纯型三年复发率约25%,在激素组则达75%及50%。 Out of 580 cases of nephrotic syndrome were treated in eleven pediatric services from 1965 to 1976,113 cases belonged to the nephritic type.Patients with significant hematuria,hypertension or impaired renal function were classified as the nephritic type,while the rest were called the simple type.Of the 113 cases of nephritic type,48 were treated with either cyclophosphamide alone or in combination with prednisone,while the others were treated with prednisone.Traditional Chinese medicine was used in most cases.Analysis of these cases in comparison with the simple type shows:(1)the subsidence of edema and disappearance of proteinuria were slower in the nephritic type,especially in the cyclophospyamide group:(2)at the completion of treatment,about 60%of the nephritic type and 90%of the simple type were in remission;(3)in the cyclophosphamide group,both the nephritic type and the simple type had a 3-year relapse rate of 25%,while in the prednisone group,the two types had a relapse rate of 75%and 50%.
机构地区 不详
出处 《北京医学》 CAS 1979年第3期151-154,共4页 Beijing Medical Journal
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