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少尿性肾炎(Oliguria Glomerulonephritis)是指在起病或病程中有持续少尿或无尿的急性肾炎。这种肾炎由多种病因所致。在小儿较多见的是急性链球菌感染后肾炎,但有些病例则无链球菌感染的证据。本病也可继发于像结节性多动脉炎和过敏性紫癜等。少尿性肾炎病理改变,轻的表现为肾小球细胞弥漫性增殖,严重的有大量新月体形成,肾小球坏死或纤维化。当大量肾小球(超过50%)有新月体形成时,可诊断为急进性肾炎。本病病因与病理虽不同,但临床表现却有共同之处,即少尿或无尿和进行性肾功能衰竭,故在处理上也有相同之处。我科自1970~1981年共收治19例少尿性肾炎,采用各种治疗措施,现报告于下。
Oliguria Glomerulonephritis refers to acute nephritis with persistent oliguria or anuria during the onset or course of the disease. This nephritis caused by a variety of causes. More common in children with acute streptococcal nephritis, but in some cases there is no evidence of streptococcal infection. The disease can also be secondary to nodular polyarteritis and allergic purpura. The pathological changes of oliguric nephritis, mild manifestations of diffuse proliferation of glomerular cells, a large number of severe crescent formation, glomerular necrosis or fibrosis. When a large number of glomeruli (more than 50%) have crescent formation, can be diagnosed as acute nephritis. The etiology and pathology of the disease is different, but the clinical manifestations have something in common, namely, oliguria or anuria and progressive renal failure, so the treatment is also the same. Our department from 1970 to 1981 were treated 19 cases of oliguric nephritis, using a variety of treatment measures, are reported below.