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对36例小儿急性肾功能衰竭(ARF)患儿,进行肾活检分析。病理检查结果除1例急性肾小管坏死外,其余均为肾小球疾病,其中以系膜增殖性肾小球肾炎、毛细血管内增生性肾小球肾炎为主,表明引起小儿急性肾功能衰竭的常见病因是肾病与急性肾炎。同时,肾活检有助于对原因不明的小儿急性肾功能衰竭明确诊断、纠正临床诊断(纠正率为22.2%)、调整治疗方案及判断预后有一定的价值。
Thirty-six children with acute renal failure (ARF) underwent renal biopsy. Pathological examination results in addition to 1 case of acute tubular necrosis, the rest are glomerular diseases, including mesangial proliferative glomerulonephritis, capillary proliferative glomerulonephritis mainly showed that caused by acute renal failure in children Common causes of kidney disease and acute nephritis. At the same time, renal biopsy can help diagnose acute renal failure in children with unknown cause, correct clinical diagnosis (correction rate of 22.2%), adjust treatment and prognosis of prognosis.