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1977年北戴河肾炎座谈会上制定的“原发性肾小球疾病临床分类方案”在全国范围内推广以来,对我国肾炎的研究工作起了重要的促进作用,总的来说,这个方案符合临床需要;然而在具体应用中,特别是在肾病及慢性肾炎这两类疾患的区分上,还存在一些问题,为此,在第二届全国肾脏病学术会议上组织了专题讨论与修订。 肾小球疾病的分型可以从病因、发病机理、组织形态和临床表现等不同方面进行探讨。临床分型完全根据临床表现作诊断,只能反映疾病本质的一个侧面;病理分型则依据组织形态。目前这两种分型方法在我国都被广泛地用于临床。二者属于不同的概念范畴,彼此之间难以直接联系。从长远眼光看,肾小球疾病的分型应朝着病因及发病机理的方
Since 1977, Beidaihe Nephritis Symposium on the development of the “clinical classification of primary glomerular disease program” has been rolled out in the country, the study of nephritis played an important role in promoting, in general, this program is in line with clinical However, there are still some problems in the specific application, especially in the distinction between the two diseases of nephropathy and chronic nephritis. Therefore, special discussions and revisions were organized at the Second National Symposium on Nephrology. The classification of glomerular disease can be etiologically, pathogenesis, histological and clinical manifestations of different aspects to explore. Clinical classification based entirely on clinical manifestations for diagnosis, can only reflect one aspect of the nature of the disease; pathological typing based on tissue morphology. At present, these two types of typing methods are widely used in our country. Both belong to different conceptual categories and are difficult to relate directly to each other. From a long-term perspective, the classification of glomerular diseases should be toward the etiology and pathogenesis of the party