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本文蛋白尿患者按临床表现分为肾病综合征、持续性蛋白尿及肉眼或显微镜血尿伴蛋白尿三类共49。各例经肾活组织通过光镜,电镜及免疫荧光技术进行病理诊断,所得结果分原发性及系统疾病性肾小球肾炎两大类。不同的临床表现可得相同的病理发现,相同的临床表现可得不同的病理发现。IgM肾病经强的松加雷公藤获完全缓解。一般说来,强的松无效时加用细胞毒药物可使系膜增殖性、膜增殖性肾炎及膜性肾病得到缓解。部分患者因治疗剂量不足,未获满意结果。肾活检有助诊断,用以指导治疗。
This proteinuria patients according to clinical manifestations are divided into nephrotic syndrome, persistent proteinuria and macroscopic or microscopic hematuria with proteinuria in all three categories. The cases were diagnosed pathologically by light microscopy, electron microscopy and immunofluorescence through the living tissue of the kidney. The results were divided into two categories: primary and systemic glomerulonephritis. Different clinical manifestations can be the same pathological findings, the same clinical manifestations can be different pathological findings. IgM nephropathy was relieved by prednisone plus tripterygium wilfordii. In general, the use of prednisone with cytotoxic drugs invalid mesangial proliferative, membranoproliferative nephritis and membranous nephropathy was alleviated. Some patients lack of treatment due to lack of satisfactory results. Kidney biopsy can help diagnose and guide treatment.