(儿科学课件）10.2NS知识讲稿.pptVIP

Case 2 A 2-year-old boy was brought to hospital with complain of periorbital edema. His urinalysis is remarkable for proteinuria and microscopic hematuria. during his hospitalization, he was noted to have depended edema,and have abnormal serum chemistries of low-level immune globulin G, hypoalbuminemia, and hyperlipidemia. And his urine presents frothy.His parents didnt find antescedent infection. which of the following is the most likely diagnosis? A post streptococcal glomerulonephritis B primary nephrotic syndrome C IgA nephropathy D urinary tract infection E primary immune deficiency answer: ? Terminology Hypertensive encephalopathy 高血压脑病 Cylinduria管型尿 Acute renal failure 急性肾功能衰竭 Hemodialysis 血液净化 Hematuria 血尿 Proteinuria蛋白尿 Hypertention高血压 Oliguria少尿 Edema水肿 Hyperlipidemia高脂血症 Hypoalbuminemia低蛋白血症 To benefit children, we are willing to cooperate with all of the pediatrician, to promote development in the field of pediatric kidney disease. Please contact with me: Nephrology Department w* Good afternoon everyone,today,we will study a kind of renal disease---nephrotic syndrome, the abbreviation is NS 1.Ok, Whats the NS? The Definition :NS 2. And it’s typified by The Clinical features is Proteinuria Hypoalbuminemia Edema Hyperlipidemia 3.so,NS is just a clinical syndrome, this slide shows the epidemiological investigation of urine system in hospital AGN is the most reason,but the percentage is decline,whats the reason? the usage of antibiotics AGN and NS are the 1.We have learned the NS is a clinical syndrome,there are three types according to the causes ,: Primary NS ,Secondary NS, and Congenital NS. 2. Primary NS accounts for 90% of NS in children 3. Nephrotic syndrome also occurs as a secondary feature of some systemic disease .such as lupus nephritis, and Henoch-Sch?nlein purpura nephritis 4. congenital nephrotic syndrome is caused by gene mutation , such as Finnish type congenital nephrotic syndrome . 5 in Children , abo