本文报告32例IgA肾病,占同期肾活检原发性肾小球疾病的24.6％。临床表现以单纯性血尿为主,占75％,肾病综合征占15.6％。有3例以持续肉眼血尿1～2 1/2月起病,似未见于文献报告。病理改变以轻、中度为多见(93.1％).对18例进行平均5.5年随访,58.8％已临床痊愈,无发展为慢性肾功能不全者。 This article reports 32 cases of IgA nephropathy, accounting for 24.6% of primary glomerular diseases in the same period of renal biopsy. The main clinical manifestations of hematuria, accounting for 75%, 15.6% of nephrotic syndrome. There are 3 cases of continuous gross hematuria 1 ~ 2 1/2 months onset, it seems not seen in the literature. Pathological changes were mild and moderate (93.1%) .All 18 cases were followed up for an average of 5.5 years, 58.8% had been clinically cured, and none developed chronic renal insufficiency.