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随访1966年1月至1982年12月急性肾炎病例205例,年龄2～14岁。随访时间平均8.4年。随访结果:痊愈者194例(94.6%)、迁延者7例(3.4%)、慢转者1例(05%)、死亡者3例(1.5%)。出院时痊愈的33例中,有3例复发,其中1例至今未愈,提示痊愈的病例亦应定期随访观察。恢复上学的139例中,发病后2～3个月内复学者73例(60%)。作者认为肾炎发病后3个月,如已临床痊愈或仅有轻度尿改变,可以考虑复学,但应避免体力活动,并以尿常规作为筛选监护。尿常规正常后,再以Addis计数测定血沉,作为监护就更为妥当。
From January 1966 to December 1982, 205 cases of acute nephritis were observed, ranging in age from 2 to 14 years. The average duration of follow-up was 8.4 years. Follow-up results: 194 cases (94.6%) were cured, 7 cases (3.4%) were delayed, 1 case (05%) were slowly transferred, and 3 cases were dead (1.5%). Of the 33 cases cured at discharge, 3 were relapsed, of which 1 had not healed up to date, suggesting that the recovered cases should be followed up regularly. Of the 139 patients who returned to school, 73 (60%) returned to school within 2 to 3 months after onset. The author believes that 3 months after the onset of nephritis, if clinically cured or only mild changes in urine, consider returning to school, but physical activity should be avoided, and urine routine monitoring as a screening. Urine routine normal, and then measured by Addis erythrocyte sedimentation rate, as guardianship is more appropriate.