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目的 :总结IgA肾病的临床表现特点、误诊的常见原因及改进措施。方法 :回顾性分析 1985年 1月～1995年 12月间在我院经肾活检明确诊断的 2 2 0例IgA肾病 ,分析IgA肾病的临床表现特点、诊断经过及误诊的常见原因及改进措施。结果 :IgA肾病临床表现多样 ,最常误诊为急性肾炎 ,其次为泌尿系感染。结论 :IgA肾病临床表现多样 ,容易误诊 ,仔细观察 ,完善的实验室及肾活检病理检查可确诊。
Objective: To summarize the clinical manifestations of IgA nephropathy, the common causes of misdiagnosis and improvement measures. Methods: A retrospective analysis of 220 cases of IgA nephropathy diagnosed by renal biopsy in our hospital from January 1985 to December 1995 was retrospectively analyzed. The clinical manifestations of IgA nephropathy were analyzed. The common causes of diagnosis and misdiagnosis and the corrective measures were analyzed. Results: The clinical manifestations of IgA nephropathy varied, the most commonly misdiagnosed as acute nephritis, followed by urinary tract infection. Conclusion: The clinical manifestations of IgA nephropathy are diverse, easy to misdiagnosis, careful observation, a sound laboratory and renal biopsy can be diagnosed.