儿童肺炎支原体相关性肾炎临床分析  

A clinical study on mycoplasma pneumoniae-associated nephritis in children.

作　　者：王淑莲[1] 李志辉[2] 易著文[2] 

机构地区：[1]湖南省娄底市中心医院儿科,现在湖医大二附进修417000 [2]湖南医科大学附属二医院儿科,长沙410011

出　　处：《中国实用儿科杂志》2001年第9期528-530,共3页Chinese Journal of Practical Pediatrics

摘　　要：目的　探讨儿童肺炎支原体相关性肾炎的临床特点。方法　观察同期住院的所有急性肾炎患儿的临床表现 ,并分成支原体感染后、链球菌感染后、其它原因所致的感染后肾炎三组进行对比分析。结果　儿童肺炎支原体相关性肾炎占同期住院急性肾小球肾炎患儿的 2 1 3% ,临床表现为急性肾炎综合征。潜伏期、血清补体水平、血尿恢复至正常的时间 ,在三组间有显著性差异。结论　儿童肺炎支原体相关性肾炎是目前本地区儿童急性肾小球肾炎的主要病因之一 ,其潜伏期较链球菌感染后肾小球肾炎短 ,病情恢复较快 。Objective To study clinical features of mycoplasma pneumoniae-associated nephritis in children.Methods View all children with actue nephritis,divide them into thr ee groups according to pathogenesis:poststreptoccocal glomerulonephritis,mycopla sma pneumoniae-associated nephritis and others,analyse their clinical features.Results Of all the objects,13(21 31%) were mycoplasma pneumoniae- associated nephritis,which presented as acute nephritis syndrome.There was signi ficant difference between the three groups on the level of serum complement,the length of latency and hematuria.Conclusion Mycoplasma pneumoniae-associated nephritis with varied kinds of pathological injury is one of the main cause of nephritis in children i n the zone,its latent periodis shorter than poststrept occocal glomerulonephriti s and recovery more rapid.

关 键 词：肺炎支原体 肾炎 儿童 

分 类 号：R725.631[医药卫生—儿科] R726.923[医药卫生—临床医学]