【摘要】 IgA肾病(IgAGN)62例,占同期原发性肾小球肾炎(PGN)的20.8％。肾病理损害程度分为Ⅰ～Ⅲ级。呈Ⅲ级损害者92.3％为弥漫系膜增生性。临床表现为反复发作性肉眼血尿者占33.9％。此类患者感染诱因常见,易伴有血清IgA增高。表现为肾病综合征(NS)者占17.7％。较常伴高血压和肾功能减退、肾病理呈Ⅲ级损害者占46.2％。更多还原

【Abstract】 The clinicopathologic findings in 62 cases with IgA nephropathy were rcviewed. They accounted for 20.3％ of the cases with idiopathic glomcrulonephritis (GN) and 69.4％, diffuse mesangial proliferative GN were observed in glomerular lesions. The degree of histopathological dmage was divided into three grades. 92.3％ cases with grade Ⅲ pathological damage belonged to diffuse mesengial proliferative GN. The common renal manifestations(?)vere recurrent macroscopic hematuria (RMH) (33.9％), glomerulonepnritis syndrome (22.4％) and nephrotic syndrome (NS) (17.7％). The elevated serum IgA value and infections of upper respiratory tract were frequently encountered in RMH. However, the hypertension, renal functional impairement and grade Ⅲ pathological damage were more common in NS,更多还原