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为探讨小儿肾病综合征（ＮＳ）并发肺栓塞的发生情况及其临床特点，对２０例血Ｄ２聚体升高的ＮＳ患儿进行了肺灌注显像检查，检出８例（４０％）合并有肺栓塞：属原发ＮＳ者５例，继发ＮＳ者３例，肺段受累１～６个不等，绝大多数无任何相应临床症状及体征。给予肝素为主的抗凝治疗２周后，６例肺栓塞好转。提示肺栓塞是小儿ＮＳ中较常见的合并症，多数无临床表现，易漏诊，及时诊断治疗，预后良好。
To investigate the incidence of pulmonary embolism in children with nephrotic syndrome (NS) and its clinical features, 20 children with NS with elevated D2-DM were enrolled in this study. Pulmonary perfusion imaging was performed in 8 children (40%) Pulmonary embolism: a case of primary NS in 5 cases, secondary NS in 3 cases, pulmonary involvement ranging from 1 to 6, the vast majority without any corresponding clinical symptoms and signs. After two weeks of anticoagulation with heparin, 6 cases of pulmonary embolism improved. Prompt pulmonary embolism is more common in children with NS complications, the majority of no clinical manifestations, easy to missed diagnosis, timely diagnosis and treatment, the prognosis is good.