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乙型肝炎相关性肾炎,有逐年增多的趋势.本文收集1979～1984年的乙型肝炎肾炎24例,其临床表现及主要实验室资料,均支持诊断。乙型肝炎常表现为肝外损害,有时成为首发病征或综合征:如肾小球肾炎、心肌炎、关节炎、胃肠炎或血清病等。乙型肝炎肾炎也是免疫复合物性肾炎之一,其病因与慢活肝有关,与患儿的免疫功能障碍亦有关。常采用综合治疗,保护肝脏;免疫兴奋治疗,如输血或血浆,胸腺素或左旋咪唑等,均可获得较好的效果。
Hepatitis B-associated nephritis has a trend of increasing year by year.There are 24 cases of hepatitis B nephritis collected from 1979 to 1984 in our hospital, and their clinical manifestations and major laboratory data support the diagnosis. Often manifested as extrahepatic lesions of hepatitis B, and sometimes become the first signs or syndromes: such as glomerulonephritis, myocarditis, arthritis, gastroenteritis or serum disease. Hepatitis B is also one of the immunocomplex-type nephritis. The etiology is related to slow-living liver and immune dysfunction in children. Often used comprehensive treatment to protect the liver; immune excitement treatment, such as blood transfusion or plasma, thymosin or levamisole, etc., can get better results.