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1例为抗 GBM 抗体介导,19例为免疫复合物介导;14例为原发性,6例为继发性。12例有前驱感染,均伴不同程度血尿,15例为肾病综合征,12例有高血压。病程前3个月内11/20例 B 超示肾增大,半数出现贫血。由于就诊较晚(平均发病第11周),15例已出现肾衰,5例未经特别治疗者于半年
One case was mediated by anti-GBM antibody, 19 cases were mediated by immune complex, 14 cases were primary and 6 cases were secondary. Twelve cases had prodromal infection, both with varying degrees of hematuria, 15 with nephrotic syndrome and 12 with hypertension. In the first 3 months of course, 11/20 cases of B ultrasound showed renal enlargement, and half of them showed anemia. Due to late treatment (average incidence of the first 11 weeks), 15 cases of renal failure have occurred, 5 cases without special treatment in half a year