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作者对1960~1969年经肾活检诊断为原发性膜性肾病的35例患者进行了长期追踪,除2例分别于1973年及1976年失去联系外,全部追踪至1979年或透析、移植及死亡,最长者达15年以上。本文旨在了解:①原发性膜性肾病的长期结局,②疾病早期有无临床或病理指征能帮助判断预后。追踪结果 35例中11例死亡,其中7例死于肾功能衰竭,4例死于非肾疾病(此4例肾脏病一直持续存在,其中2例死亡时已进入尿毒症);11例缓解;13例为持续病变,此13例中7例肾小球滤过率小于80
Of the 35 patients who were diagnosed as primary membranous nephropathy by renal biopsy from 1960 to 1969, the authors followed up for a long period of time. All were followed until 1979 or dialysis, transplantation, and transplantation except 2 patients lost contact in 1973 and 1976, respectively Death, the longest up to 15 years. This article aims to understand: ① long-term outcome of idiopathic membranous nephropathy, ② early stage of the disease without clinical or pathological indications can help determine the prognosis. Tracing results: Of the 35 cases, 11 died, of which 7 died of renal failure, 4 died of non-renal disease (4 cases of kidney disease persisted and 2 of them died of uremia); 11 cases were relieved; 13 cases of persistent disease, the 13 cases in 7 cases glomerular filtration rate was less than 80