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目的:研究流行性急性链球菌感染后肾小球肾炎的临床特征及预后。方法:回顾分析15例临床资料。结果:先驱疾病呼吸道感染者10例。其中8例感染2周内发病。皮肤感染者1例。4例无先驱感染。颈部淋巴结肿大疼痛6例;肉眼血尿11例;水肿13例;高血压10例;扁桃体肿大8例。全部病例ASO增高,血C_3降低15例。镜下血尿15例。随访3个月,临床症状及血尿消失12例,3例持续血尿。结论:本病表现为肾炎综合征外,可同时有颈部淋巴结肿痛,少部分可持续镜下血尿,可无明显间歇期,预后良好。
Objective: To study the clinical characteristics and prognosis of glomerulonephritis after epidemic streptococcal infection. Methods: A retrospective analysis of 15 cases of clinical data. Results: Pioneer disease respiratory tract infection in 10 cases. 8 cases of infection within 2 weeks of onset. Skin infection in 1 case. 4 cases without pioneer infection. Neck lymph node enlargement pain in 6 cases; gross hematuria in 11 cases; edema in 13 cases; hypertension in 10 cases; tonsil enlargement in 8 cases. All cases of ASO increased blood C_3 decreased in 15 cases. Microscopic hematuria in 15 cases. Followed up for 3 months, clinical symptoms and hematuria disappeared in 12 cases, 3 cases continued hematuria. Conclusion: The disease is characterized by nephritic syndrome, which can have both cervical lymph nodes and a small amount of sustainable microscopic hematuria. There is no obvious intermittent period and the prognosis is good.