随着近年疾病谱的改变 ,以及人们对“健康”更全面的理解和要求 ,小儿肾脏病的慢性进展问题已提上日程。这一过程常潜隐进行 ,不易及时发现 ,而且当其达到一定程度后不论起因如何或起因是否已去除 ,病变都将持续进展 ,终至不可逆的“终末期肾病”(ＥＳＲＤ)。其次 ,在小儿时期 With the recent changes in the disease spectrum, and people’s “health” more comprehensive understanding and requirements, chronic kidney disease in children has been put on the agenda. This process is often subtle and difficult to detect in time, and when it reaches a certain level, the disease will continue to progress, culminating in irreversible “end-stage renal disease” (ESRD), regardless of the cause or cause. Second, in infancy