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1.本文报告成人急性肾小球肾炎195例。男性116例,女性78例。男女比例与住院男女病员比数相若。50岁以上老年患者占29例(15%),老年患者两年来有增多的趋势。2.主要临床表现有浮肿,少尿,厌食,高血压等。23例合并急性充血性心力衰竭,其中8例为老年人。氮质血症39例,酸中毒者24例,15例血清胆固醇显著增高并早期出现肾变综合征的各个特点。3.有30%患者于病前无“前驱感染”征象;少数患者在感染之后不足一周即行发病。4.本文讨论了并发急性心力衰竭的早期表现。治疗中加服双氢氯噻嗪并无不良作用,但似无显著利尿消肿之效。
1. This article reports 195 cases of adult acute glomerulonephritis. 116 males and 78 females. The male-female ratio is similar to the ratio of male and female patients in hospital. Elderly patients over the age of 50 accounted for 29 cases (15%), elderly patients have increased trend over the past two years. 2. The main clinical manifestations of edema, oliguria, anorexia, high blood pressure and so on. 23 cases with acute congestive heart failure, of which 8 cases were elderly. 39 cases of azotemia, acidosis in 24 cases, 15 cases of serum cholesterol was significantly increased and early various characteristics of nephrotic syndrome. 3. Thirty percent of patients had no signs of “prodromal infection” before the illness; a few patients were less than one week after the onset of infection. 4. This article discusses the early manifestations of concurrent acute heart failure. Treatment with hydrochlorothiazide plus no adverse effects, but no significant effect of diuretic swelling.