【摘要】 目的探讨湖北民族地区IgA肾病患者临床特点及相关因素。方法对71例原发性IgA肾病患者的临床资料进行回顾性分析。结果 71例IgA肾病患者中,年龄30～39岁者37例(52.11%);39例(54.93%)临床表现为血尿+蛋白尿;43例(60.56%)为系膜增生性肾炎,22例(30.07%)为局灶性节段性肾小球硬化;45例(63.38%)合并有高血压。结论 IgA肾病临床表现多样化,多伴高血压,孤立性血尿的IgA肾病易被忽视而漏诊,其他肾小球疾病易被误诊为IgA肾病,临床上应尽早行肾活检术确诊。更多还原

【Abstract】 Objective To investigate the clinical features and related factors of patients suffering IgA nephropathy in minority areas of Hubei.Methods A retrospective analysis was conducted on the clinical data of 71 cases of primary IgA kidney disease.Results Among the 71 cases of IgA kidney disease,those aged between 30 and 39 amounted to 37 cases(52.11%).39 cases(54.93%) had clinical manifestations of hematuria and proteinuria,43 cases(60.56%) had mesangial proliferative glomerulonephritis,22 cases(30.07%) had focal segmental glomerulosclerosis,45 cases(63.38%) had hypertension.Conclusion IgA nephropathy had a variety of clinical symptoms coupled with hypertension.Considering IgA nephropathy with isolated hematuria is apt to be neglected and other diseases of the renal glomerulus misdiagnosed as IgA nephropathy,it is advisable to have renal biopsy so as to ensure an early diagnosis.更多还原