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本文报道肾穿刺活检50例成人肾病综合征,原发性:继发性为2.57:1。慢性肾炎最多,占总数58％,急性肾炎14％,LE肾炎占20％,居继发性首位,其它较少见。肾病理以局灶硬化最多(24％),膜性肾炎次之(18％)。各临床类型的肾脏病理有其一定特征。在原发性与继发性之间,贫血、γ球蛋白下降、C_3、CH_(50)及莫氏试验等的异常有显著差异。LE肾炎、急性肾炎伴高血压、肾功能不全较多,前者血尿少,贫血重;后者血尿显著,贫血少。激素疗效以弥漫增殖性最差,膜性次之,微小病变型最佳。
This article reports renal biopsy in 50 cases of adult nephrotic syndrome, primary: secondary 2.57: 1. Chronic nephritis up to 58% of the total, acute nephritis 14%, LE nephritis 20%, ranking first in secondary, other less common. Renal pathology with focal sclerosis up (24%), membranous nephritis second (18%). Each clinical type of kidney pathology has its own characteristics. In the primary and secondary, anemia, γ-globulin decreased, C_3, CH_ (50) and Morse test abnormalities were significantly different. LE nephritis, acute nephritis with hypertension, renal insufficiency more, the former less blood and urine, anemia; the latter significant hematuria, anemia less. Hormone effect to diffuse the worst proliferative, membranous second, the smallest type of minimal change.