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难治性肾病综合征,其病理类型,多见膜性增殖性肾炎,为肾病综合征的较严重型,治疗棘手。若伴有并发症,则更使病情恶化。我院儿科于81年2月收治一例难治性肾病综合征并发带状疱疹、病情危重,终经治愈。现将治疗情况报导如下: 病历摘要:住院号32009,患儿余××、男、14岁,起病于80年10月,因眼睑浮肿、尿少、旦白尿三周入院。初按“急性肾炎”治疗、住院月余,症状缓解、惟尿检旦白仍间断阳性、遂自动出院。院外服中药治疗,历四月后,又因下行性浮肿,旦白尿增多,于81年2月,再次住院。血压100/60mmHg,慢性病容,眼睑及下肢有轻度浮肿,其它系统未发现阳性体征。化验:尿旦白定性“+++++”,定量:6.6g/24小时,镜检:红细胞少许,白细胞2～4个/H,透明及颗粒管型0°—2/H,胆固醇366mg/dl,血沉:20mm/第一小时,C_3 160
Refractory nephrotic syndrome, the pathological type, more common membranous proliferative glomerulonephritis, more severe type of nephrotic syndrome, the treatment of intractable. If accompanied by complications, the more the disease worsened. Pediatrics in our hospital in February 1981 admitted to a case of refractory nephrotic syndrome complicated by shingles, critically ill, eventually cured. The treatment is now reported as follows: medical records summary: hospital number 32009, children more than × ×, male, 14 years old, onset in 80 years in October, due to eyelid edema, oliguria, proteinuria three weeks admitted. According to the “acute nephritis” treatment, more than months of hospitalization, the symptoms were relieved. However, the urine test was still positive and was discharged automatically. Outpatient service traditional Chinese medicine treatment, calendar after four months, due to descending edema, increased proteinuria, in February 1981, again hospitalized. Blood pressure 100 / 60mmHg, chronic disease, mild edema of the eyelids and lower extremities, other systems found no positive signs. Laboratory: Urine white qualitative “+++++”, quantitative: 6.6g / 24 hours, microscopic examination: a little red blood cells, white blood cells 2 to 4 / H, transparent and granular tube 0 ° -2 / H, cholesterol 366mg / dl, erythrocyte sedimentation rate: 20mm / first hour, C_3 160