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老年病人的肾功异常可由许多病因引起。肾硬化症、高血压、心衰、尿路梗阻及恶性病在老年病人均较常见。老年人还常有用药嗜好,许多药物具有潜在的肾脏毒性。既往一些老年肾脏病的报道曾提到老年人肾炎可呈亚临床经过,诊断困难,预后不良。Nesson等(1960)对26例年龄在60岁以上的一组肾炎病人尸检复习中,指出有半数以上的病例死前未能作出诊断。本文复习了115例年龄在60岁以上的肾脏病人的临床及肾活检材料,这些病人的肾脏病均经肾活检确定,并经随访了解到其临床经过及最后转归,随访期为6～84月。115例患者,男64例,女51例,年龄最大者为84岁。主要临床表现为肾功能不全者57例,肾病综合征35例,血尿并程度不同的蛋白尿23例。主要
Renal abnormalities in elderly patients can be caused by many causes. Renal sclerosis, hypertension, heart failure, urinary tract obstruction and malignant disease are more common in elderly patients. Elderly people also often have medication hobbies, many drugs have potential renal toxicity. Previous reports of elderly kidney disease have mentioned that subclinical nephritis in the elderly can be followed, the diagnosis is difficult, the prognosis is poor. Nesson et al. (1960) reported on the autopsy of a group of 26 nephritis patients over the age of 60 that more than half of the patients failed to make a diagnosis before they died. This article reviewed the clinical and renal biopsy materials of 115 patients with kidney disease over the age of 60 years. The renal disease of these patients were confirmed by the renal biopsy. The follow-up and follow-up showed that the clinical course and the final outcome were 6 to 84 month. 115 patients, 64 males and 51 females, the oldest was 84 years old. The main clinical manifestations of renal insufficiency in 57 cases, 35 cases of nephrotic syndrome, hematuria and degree of different proteinuria in 23 cases. main