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原发性肾小球肾炎有多种病理类型,各种类型在世界各地的分布有差异。本文分析了1001例原发性肾炎的病理类型,发现我国系膜增生性肾炎(包括IgA肾病)发病率占首位,无论以肾病综合征或肉眼血尿起病的,还是伴发肾实质性高血压及发展至慢性肾衰的病例,均以此型常见。而微小病变和膜性肾病的发生率,则明显低于西方。提出系膜增生性肾炎,尤其是IgA肾病,应是我国肾炎防治工作的一个重点。
Primary glomerulonephritis has a variety of pathological types, various types of distribution in the world are different. This article analyzes the pathological types of 1001 cases of primary nephritis and found that the incidence of mesangial proliferative glomerulonephritis (including IgA nephropathy) in the first place, both with nephrotic syndrome or gross hematuria onset, or with renal parenchymal hypertension And the development of chronic renal failure cases, are common to this type. The incidence of minimal change and membranous nephropathy was significantly lower than in the West. Proposed mesangial proliferative glomerulonephritis, especially IgA nephropathy, should be a focus of prevention and treatment of nephritis in our country.