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血屎是肾活检病理检查常见适应证之一。本文时36例临床表现为单纯性血尿或以血尿为主要表现的患者肾活检病理类型进行了分析,发现系膜增生性肾小球肾炎和IgA肾病占55.6%。值得注意的是,2例IgA肾病患者临床上表现为非肾小球性血尿,几例有较严重肾脏位置异常的病人,病理诊断为肾小球肾炎。同时指出了血尿病人行肾活栓病理检查的必要性。
Blood feces is one of the common indications of renal biopsy pathology. In this paper, 36 cases of simple clinical manifestations of hematuria or hematuria as the main manifestations of renal biopsy pathological types were analyzed and found mesangial proliferative glomerulonephritis and IgA nephropathy accounted for 55.6%. It is noteworthy that, 2 cases of IgA nephropathy in patients with clinical manifestations of non-glomerular hematuria, a few cases of more serious renal abnormalities in patients with pathological diagnosis of glomerulonephritis. At the same time pointed out that hematuria kidney thrombosis pathological necessity.