摘要
本文报道7例肾小球肾炎(4例临床表现为肾病综合征),因治疗效果不佳或化验不符,作肾脏活组织检查。病理报告结果分别为慢性进行性肾炎、轻微病变型肾炎、膜型肾炎、膜增生型肾炎等。遂据此以调整治疗方案。1例临床诊断为隐匿性肾炎,病理诊断为慢性活动性肾炎;另2例通过肾脏活组织检查,作出了肾炎还是胶原性疾病的鉴别诊断。国内目前对肾炎的诊断,主要按临床分型,建议今后应结合病理检查,以提高诊断和治疗水平.
Seven cases of glomerulonephritis are reported,among which 4 presented asnephrotic syndrome.Renal biopsies were performed because of poor response to treat-ment or presence of some findings not compatible with the usual clinical picture.Thepathological diagnoses were:chronic progressive,minimal,membranous and membrano-proliferative glomerulonephritis.Therapeutic regimen was thus corrected with goodresults.It is suggested that the diagnosis of glomerulonephritis should be made onboth clinical and pathological findings so as to improve the diagnostic accuracy andtherapeutic efficacy.
出处
《上海医学》
CAS
1981年第7期8-11,63+60,共6页
Shanghai Medical Journal
