儿童非少尿性紫癜性急进性肾炎2例报告

• 作 者: 刘广才 杨蜀琴 王茜 毕义华 赵志忠
• 机 构: 青海省儿童医院,青海省儿童医院,青海省儿童医院,青海省儿童医院,青海省儿童医院,
• 出 处: 青海医药杂志
• 发表日期: 1989年06期
• 关键词: 急进性肾炎 新月体形成 尿量 预后差 过敏性紫瘫 肾功能 膝关节痛 腹膜透析 氮质血症 肾功衰竭

2例患儿均有双下肢典型过敏性紫癜改变及伴膝关节痛、腹痛、血便史。继而出现浮肿、血尿。虽然尿量减少不明显,但肾功能急剧恶化,进展迅速,重度酸中毒、顽固低血钾、预后差等特点。虽行腹膜透析,但均未挽救生命。例2肾组织镜检广泛新月体形成。例一,女,9岁。患过敏性紫癜16日后出现浮肿、血尿。每日尿量减少不著。在当地医院治疗近1月加重转来。神志清

Two cases of children with both lower extremity typical allergic purpura changes and with knee pain, abdominal pain, bloody history. Then there edema, hematuria. Although the urine output is not obvious, but the rapid deterioration of renal function, rapid progress, severe acidosis, stubborn hypokalemia, poor prognosis and so on. Although peritoneal dialysis, but did not save lives. Example 2 Renal microscopy extensive crescent formation. Example one, female, 9 years old. Suffering from purpura 16 days after edema, hematuria. Daily urine output is reduced. In the local hospital treatment in recent January increased. Consciousness