紫癜性肾炎(HSPN)是儿科较常见的继发性肾小球疾病,部分患儿病程迁延,可进展为慢性肾功能不全、终末期肾病。因此,早期诊断、合理治疗对患儿疾病的转归具有重要意义。国内外尚无统一标准,现就目前的诊治现状作一介绍,可靠结论仍需大样本、多中心随机对照试验(RCT)证实。 Purpura nephritis (HSPN) is a common pediatric secondary glomerular disease, some children with persistent disease progression can progress to chronic renal insufficiency, end-stage renal disease. Therefore, early diagnosis and reasonable treatment of children with disease outcome is of great significance. There is no uniform standard at home and abroad, and now the current status of diagnosis and treatment for an introduction, reliable conclusions still need large samples, multi-center randomized controlled trials (RCT) confirmed.