小儿单纯性血尿的临床和病理  

ISOLATED HEMATURIA IN CHILDREN: ACLINICO PATHOLOGICAL STUDY

作　　者：郭怡清[1] 周一平[1] 郭慕依[1] 张月娥[1] 吕红 徐虹[1] 李雅春 

机构地区：[1]上海医科大学儿科医院,上海医科大学病理教研室

出　　处：《中华肾脏病杂志》1995年第4期200-203,共4页Chinese Journal of Nephrology

摘　　要：小儿单纯性血尿有肾穿刺活检资料的５０例。临床表现为镜下血尿者１７例，镜下血尿伴发作性肉眼血尿２９例，单纯发作性肉眼血尿４例。病理结合临床诊断为系膜增生性肾炎１０例，局灶节段性增生性肾炎２例，ＩｇＡ肾病１３例，薄基底膜肾病１５例，遗传性肾炎２例，高钙尿症３例，乙肝病毒相关肾炎１例，轻微病变２例。AbstractRenal biopsy was performed in 50 children pre-senting with isolated (asymptomatic) hematuria. Ofthem, recurrent or persistant microscopic hematuriawere seen in 17 . microscopic hematuria and episodes ofgross hematuria in 29, 4 children had only recurrentepisodes of gross hematuria. Renal histopathologicalstudy revealed mesangial proliferative glomeru-lonephritis in 10 . focosegmental proliferative glomeru-lonephritis in 2 , IgA nephropathy in i3 , thin basementmembrane nephropathy in 15. Alport's syndrome in 2,idiopathic hypercalciuria in 3, 1 case HBV associatedmesangial proliferative glomerulonephritis and 4 casesshowed minor lesion or normal renal tissues. Theseobservation indicated that etiology and histopathologyof isolated hematuria were varies and diagnosis may bemade only after careful examination.

关 键 词：血尿 单纯性血尿 IGA肾病 病理 遗传性肾炎 

分 类 号：R726.958[医药卫生—儿科]