作者对131例IgA肾病患者进行临床及病理资料分析，并着重对44例（33．6％）随访资料较完整的患者进行综合分析，其中伴有高血压者12例（27．3％），肉眼血尿21例（47．7％），蛋白尿35例（79．6％），肾病综合征10例（227％）。结果提示：持续性高血压、尿蛋白＞1g／d、球性硬化≥35％、小管间质病变、系膜细胞增生、系膜基质增宽、大量蛋白尿组高血压的发生率高，与预后不良有关。 The author of 131 cases of IgA nephropathy patients with clinical and pathological data analysis, and focused on 44 cases (33.6%) follow-up data were more comprehensive analysis of patients, of which 12 cases were associated with hypertension (27.3%), Gross hematuria in 21 cases (47.7%), proteinuria in 35 cases (79.6%), nephrotic syndrome in 10 cases (227%). The results suggest that persistent hypertension, urinary protein> 1g / d, ball sclerosis≥35%, tubulointerstitial lesions, mesangial cell proliferation, mesangial matrix broadening, high incidence of hypertension in massive proteinuria, and Poor prognosis.