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介绍100例小儿急性肾功能衰竭(ARF)的病因、临床表现、实验室检查、病理及预后。肾前性13例(13%),肾性86例(86%),其中肾小球疾病66例(66%),肾后性1例(1%)。31例肾活检,病理为9种类型,毛细血管内增生性肾小球肾炎(EnPGN)8例(25.81%),系膜增殖性肾小球肾炎(MsPGN)4例(12.90%),膜增殖性肾小球肾炎(MPGN)1型5例(16.13%),局灶节段性肾小球硬化(FSGS)3例(9.68%),增生性硬化世肾小球肾炎(PSGN)5例(16.13%)。本文强调了小儿肾活检的临床意义及对预后的分析。
100 patients with acute renal failure (ARF) etiology, clinical manifestations, laboratory tests, pathology and prognosis. 13 cases of prerenal (13%), 86 cases of renal (86%), of which 66 cases of glomerular disease (66%), 1 case of post-renal (1%). Thirty-one cases of renal biopsy showed 9 types of pathology, EnPGN in 8 cases (25.81%), mesangial proliferative glomerulonephritis (MsPGN) in 4 cases (12.90% ), 5 cases of MPGN type 1 (16.13%), 3 cases of focal segmental glomerulosclerosis (FSGS) (9.68%), and the proliferative glomerulonephritis 5 cases of PSGN (16.13%). This article highlights the clinical significance of pediatric renal biopsy and its prognostic analysis.