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通过对26例尿无或轻微异常的急性肾小球肾炎的分析,发现本病占同期住院肾炎病例的32.8%。临床表现为浮肿、少尿和高血压。尿常规检查,9例(34.6%)尿蛋白(+)～(+),17例阴性,抗“O”检查,20例(90.9%)增高,血清补体C_2急性期检查12例显著降低,三个月后门诊复查,恢复良好,补体C_3恢复正常。对尿无或轻微异常的原因,认为可能与肾小球的渗透性与肾小管的重吸收平衡或尿蛋白检查方法的敏感性有关。鉴于此类病人在肾炎中占有一定比例,应引起临床工作者重视。
Through the analysis of 26 cases of acute glomerulonephritis with or without abnormal urine, it was found that the disease accounted for 32.8% of the cases of hospitalized nephritis in the same period. Clinical manifestations of edema, oliguria and hypertension. Urine routine examination, urinary protein (+) in 9 cases (34.6%), negative in 17 cases and anti-O test in 20 cases (90.9%). Serum complement C_2 in acute phase was significantly lower in 12 cases Outpatient review after months, good recovery, complement C_3 returned to normal. The reason for no or slight abnormalities in the urine is thought to be related to the glomerular permeability and the balance of renal tubular reabsorption or the sensitivity of urinary protein test methods. In view of such patients occupy a certain proportion of nephritis, should cause clinical workers attention.