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紫癜肾炎(HSPN)是继发于过敏性紫癜的肾炎,在儿科日常诊疗工作中相当常见。据1982年国内各种类型医院肾脏疾病发病情况的调查,在住院病人中,HSPN占儿科泌尿系疾病的5.8％,居第四位,仅次于急性肾炎、肾病综合征和尿路感染。 1 小儿紫癜肾炎的特殊类型 HSPN发病时的临床表现,以血尿和(或)蛋白尿较为常见,而急性肾炎综合征、肾病综合征和肾炎合并肾病则是3个较特殊的类型,现将其临床表现分述如下。 1.1 急性肾炎综合征型(ANS) 除血尿外,伴有高血压、血尿素氮或肌酐增高、尿少等3项中至少2项。
Purpura nephritis (HSPN) is a nephritis secondary to anaphylactoid purpura and is quite common in pediatric routine care. According to a survey of the incidence of kidney disease in various hospitals in China in 1982, among the inpatients, HSPN accounted for 5.8% of pediatric urological diseases, ranking the fourth place after acute nephritis, nephrotic syndrome and urinary tract infection. A special type of purpura nephritis in children with clinical manifestations of HSPN onset to hematuria and (or) proteinuria is more common, and acute nephritic syndrome, nephrotic syndrome and nephritis with nephropathy is the three more specific types, and now its Clinical manifestations are as follows. 1.1 acute nephritic syndrome (ANS) In addition to hematuria, accompanied by hypertension, increased blood urea nitrogen or creatinine, oliguria, at least two of the three.