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为了解毛细血管内增生性肾小球肾炎的特殊临床表现,探讨肾穿刺活检术在急性肾小球肾炎中的应用,采用回顾分析法,对30例毛细血管内增生性肾小球肾炎临床、病理进行统计分析。结果显示,临床表现为肾病综合征8例,急性肾功能衰竭8例,IgA肾病6例,急性肾炎6例,隐匿性肾炎2例。病理学表明,以肾病型、肾衰型病变重,分别有不同程度的新月体形成。肾病型有5例免疫荧光示IgG、C3沉积呈“花环状”。提示毛细血管内增生性肾小球肾炎临床表现多样,肾穿刺活检术可明确诊断。强的松龙治疗急性肾炎(肾病型)有一定疗效。
In order to understand the special clinical manifestations of proliferative glomerulonephritis in capillaries and to explore the application of renal biopsy in acute glomerulonephritis, retrospective analysis was used to evaluate the clinical and pathological features of 30 cases of capillary proliferative glomerulonephritis, Pathological statistical analysis. The results showed that the clinical manifestations of nephrotic syndrome in 8 cases, 8 cases of acute renal failure, IgA nephropathy in 6 cases, 6 cases of acute nephritis, occult nephritis in 2 cases. Pathology shows that kidney type, renal failure type lesions, respectively, have different degrees of crescent formation. Nephropathy in 5 cases showed immunofluorescence IgG, C3 deposition was “garland.” Tip capillary proliferative glomerulonephritis clinical manifestations of various, renal biopsy can confirm the diagnosis. Prednisolone treatment of acute nephritis (nephropathy) have a certain effect.