急性链球菌感染后肾小球肾炎.pptVIP

Acute Poststreptococcal Glomerulonephritis(APSGN) APSGN follows infection of the throat or skin by certain “nephritogenic” strains of group A β-hemolytic streptococci Throat (serotype 12) , cold weather months. skin (serotype 49) , warm weather months. Hematuria: Gross hematuria (30-50%), microscopic hematuria are more common. Edema(90%): typically presents in the face and upper extremities. Ascites and anasarca may occur in children. Hypertension(75% ): usually mild to moderate, and most evident at the onset of nephritis and typically subsides promptly after diuresis. Proteinuria: Many pati