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报告25例小儿肾病综合征临床分析。其中单纯型肾病17例(含1例临床与病理不符者),肾炎型肾病8例(含乙肝相关肾炎和难治型肾病各1例);两组均有尿NAG升高病例,故此项无鉴别意义。经激素治疗,单纯型肾病15例痊愈,2例好转;肾炎型肾病中1例乙肝相关肾炎用干扰素、保肝治疗,余激素疗效不佳改用CTX冲击,3例痊愈,4例好转,1例死亡。分析认为,治疗中要注意临床与病理结合,密切观察激素毒副反应,及时改药,防止血栓形成。
Report of 25 cases of children with nephrotic syndrome clinical analysis. Among them, 17 cases of simple nephropathy (including 1 case of clinical and pathological incompatibility), 8 cases of nephritis (including 1 case of hepatitis B-associated nephritis and refractory nephropathy); both had elevated urinary NAG, so no Identification of significance. 15 cases of simple nephropathy cured, 2 cases improved; nephritis nephropathy in 1 case of hepatitis B-related nephritis with interferon, liver protection, corticosteroid poor effect to CTX impact, 3 cases recovered, 4 cases improved, 1 case died. Analysis, treatment should pay attention to the combination of clinical and pathological, close observation of hormonal side effects, timely modification of drugs to prevent thrombosis.