微小病变肾病综合征并发急性肾衰竭的临床病理特点（临床医学资料）.docVIP

微小病变肾病综合征并发急性肾衰竭的临床病理特点（临床医学资料） 文档信息 属性： F-01NWGG，doc格式，正文19625字。质优实惠，欢迎下载！ 适用： 作为医学资料、临床医学资料写作的参考文献，解决如何写好实用应用文、正确编写文案格式、内容摘取等相关工作。 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：微小病变肾病综合征并发急性肾衰竭的临床病理特点 2 1 对象和方法 3 2 结果 5 3 讨论 6 文2：微小病变肾病综合征并发急性肾衰竭的临床病理 8 1 对象和方法 9 2 结果 11 3 讨论 12 参考文摘引言： 13 原创性声明（模板） 15 文章致谢（模板） 15 正文 微小病变肾病综合征并发急性肾衰竭的临床病理特点（临床医学资料） 文1：微小病变肾病综合征并发急性肾衰竭的临床病理特点 Abstract: Objective: To explore the clinical and pathological characteristics of minimal change nephrotic syndrome （MC） complicated with idiopathic acute renal failure （IARF）. Methods:Fifteen patients with adult-oet MC complicated with IARF （ARF group） were compared with 15 patients with MC without ARF （non-ARF group） who were randomly selected. The clinical manifestation，pathological data and outcome were analyzed retrospectively. Results: In ARF group the average serum creatinine level was （± ）μmol/L. 11 cases manifested oliguria ARF （%） and recovery of renal function （%） in ARF group was found in 13 case. The systolic blood pressure was higher and the degree of edema was more serious in the ARF group （P ）. The incidence of vacuolar degeneration in tubular epithelium and flattened tubular epithelium was higher in the ARF group （P ）. The incidence of proteinaceous casts was higher in the ARF group （P ）. The remission time of nephrotic syndrome as well as the hospitalization time （P ）was longer in the ARF group. Conclusion: IARF usually occu in nephrotic patients with higher blood pressure and more serious edema. The main histopathologic change is acute tubule of renal function occu in most cases. The prognosis is good. Key words: minimal change disease；nephritic syndrome；acute renal failure 1966年Chamberlain首次报道原发性肾病综合征（nephritic syndrome，）患者并发原因不明的急性肾衰竭（acute renal failure，ARF），即特发性急性肾衰竭(idiopathic acute renal failure，IARF)。微小病变肾病（minimal change dieases，MCD）是原发性的常见病理类型之一，现已明确IARF最好发于微小病变肾病综合征（minimal change nephrotic syndrome，MC），但其发生机制至今不明。我们回顾性分析了1993年7月-2008年5月