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肾病综合征是常见于肾小球疾病的一组临床症状,9岁以下儿童为每年大约有7/10万受罹。主要表现为大量蛋白尿(24小时尿蛋白总量在3.5克以上),浮肿和低蛋白血症(血浆蛋白低于3.0克%),且常伴有高脂血症。本病在治疗上肾上腺皮质激素(简称激素)有很好的疗效,但对于激素如何治疗,尿蛋白控制后(指转阴)应何时减量为宜,根据我们临床的体会,如掌握不好往往造成反复复发,介绍典型病例如下: 例1 王××,男,20岁,汉族,未婚,武警卫训队学员,病案号31404。患者于1984年5月份曾受凉出现咽痛、发热,经对症治疗症状消失。6月23日突然出现眼睑、躯干、四肢浮肿,伴乏力、纳差、尿少色黄,逐渐加重于6月25日来院经门诊收住。查体:体温36℃,脉搏64次,呼吸16次,血压110/80毫米汞柱。发育正常,营养中等,神志清,精神差,自
Nephrotic syndrome is a group of clinical symptoms common to glomerular diseases, with about 7-10 million children under the age of 9 suffering each year. Mainly for large amounts of proteinuria (24-hour urine protein in the total amount of 3.5 grams), edema and hypoproteinemia (plasma protein less than 3.0 grams%), and often accompanied by hyperlipidemia. The disease in the treatment of adrenal cortex hormones (referred to as hormone) has a good effect, but how to treat hormones, urinary protein control (refer to negative) should be reduced when appropriate, according to our clinical experience, such as the mastery Good often caused by repeated recurrence, the typical case described below: Example 1 Wang × ×, male, 20 years old, Han nationality, unmarried, Armed Police Corps students, the case number 31404. Patients in May 1984 had sore throat, fever, symptomatic treatment symptoms disappear. June 23 suddenly appeared eyelids, torso, limbs edema, with fatigue, anorexia, oliguria, gradually aggravating to the hospital on June 25 to accept the clinic. Physical examination: body temperature 36 ℃, pulse 64 times, breathing 16 times, blood pressure 110/80 mm Hg. Normal development, moderate nutrition, clear consciousness, poor spirit, since