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分析 710例原发性肾病综合征 (NS)合并急性肾功能衰竭 2 8例 (ARF)的临床特点 ,其发病率为 3.9%。临床表现 :少尿 19例 (6 7.8% ) ,无尿 3例 (10 .71% ) ,合并昏迷抽搐 3例 (10 .71% ) ,腹水 16例(5 7.14% ) ,胸水 7例 (2 5 % ) ,高血压 9例 (32 .14% ) ,胃肠道症状 8例 (2 8.5 7% ) ,贫血 10例 (35 .71% ) ,出血6例 (2 1.42 % )。 3例以ARF为NS的首发症状 ,占 10 .71% ,诱因依次为感染 15例 (5 3.5 7% ) ,腹泻 6例(2 1.43% ) ,长期禁盐 2例 (7.14% ) ,原因不明 5例 (15 .86 % )。结果表明对NS应定期例行尿分析、2 4h尿蛋白定量、肝肾功能、血脂等检查。一旦并发ARF应尽早给予肾上腺皮质激素及对症等联合治疗。该组 2 8例中 2 7例逆转 (96 .43% )。NS并发ARF如及时发现治疗多数是可以逆转的。
Analysis of 710 cases of primary nephrotic syndrome (NS) with acute renal failure in 28 cases (ARF) clinical features, the incidence was 3.9%. The clinical manifestations included oliguria in 19 cases (6 7.8%), anuria in 3 cases (10.71%), coma with convulsion in 3 cases (10.71%), ascites in 16 cases (7.114%) and pleural effusion in 7 cases 5%), hypertension in 9 cases (32.14%), gastrointestinal symptoms in 8 cases (2 8.57%), anemia in 10 cases (35.71%) and bleeding in 6 cases (2 1.42%). The first symptom of ARF was NS, accounting for 10.71%. Among them, 15 were induced (15.57%), 6 were diarrhea (2.43%) and 2 were salt forbidden (7.14%) for unknown reasons 5 cases (15.86%). The results showed that NS should be routine routine urinalysis, 24 h urinary protein, liver and kidney function, blood lipids and other tests. Once the concurrent ARF should be given adrenal cortex hormones and symptomatic and other joint treatment. In the group of 28 cases, 27 cases reversed (96.43%). NS complicated with ARF If promptly found that the majority of treatment can be reversed.