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部分肾病综合征患者,临床症状控制后,在某些因素影响下可能再发。本文收集21例复发性肾病综合征,对其可疑诱因,治疗情况作一分析,并提出预防措施。 1 临床资料 1.1 一般资料 21例中,男11例,女10例,年龄6~52岁,儿童13例,成人8例,肾病综合征IⅠ型15例,Ⅱ型6例。21例均在初次发作时应用强的松3~8周左右临床症状得以控制,均属激素敏感型。 1.2 可疑诱因 复发前1周内有:上呼吸道感染9例,泌尿系感染1例,头外伤1例,过度劳累2例,被牛虻叮咬后1例,被蜜蜂蛰伤1例,对青霉素发生过敏反应1例,由于激素减量过快或突然停药4例;另1例未发现特殊诱因。
Some patients with nephrotic syndrome, clinical symptoms control, under the influence of some factors may be recurrent. In this paper, 21 cases of recurrent nephrotic syndrome were collected, their suspicious incentives, treatment for an analysis and proposing preventive measures. 1 Clinical data 1.1 General Information 21 cases, 11 males and 10 females, aged 6 to 52 years old, 13 children, 8 adults, Nephrotic syndrome I type in 15 cases, type II in 6 cases. 21 cases were used in the first episode of prednisone about 3 to 8 weeks to control the clinical symptoms are hormone-sensitive. 1.2 suspicious incentives within 1 week before recurrence: upper respiratory tract infection in 9 cases, urinary tract infection in 1 case, head injury in 1 case, over exertion in 2 cases, bovine bite in 1 case, bee stings in 1 case, allergic to penicillin Response in 1 case, due to excessive reduction of hormone or sudden withdrawal in 4 cases; the other 1 case did not find a special incentive.