Chronic Nephritis 慢性腎炎


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Chronic nephritis is an allergic disease caused by a wide variety of etiological factors.

Only a small % of cases are obviously due to the progression of acute nephritis.

The majority of patients with chronic nephritis have no history of acute nephritis.

The disease is common in young adults and middle-aged people.

Main points of diagnosis: There are three types of chronic nephritis according to the clinical features.

1 Common type: The course of this type is persistent. The quantitative examination of urinary protein is at a range between 1.5g~3.5g/day. Patients may have hypertension, hematuria, cylinduria and decrease of renal function.

2 Nephrotic type: In addition to the features of the common type, quantitative examination of urinary protein is greater than 3.5g/day, the serum albumin is less than 3.5g/day. Marked edema is the characteristic feature of this type.

3 Hypertensive type: a persistent hypertension is the predominant manifestation of this type of chronic nephritis besides the features of the common type.


慢性腎炎是由多種病因所引起的一種變態反應性疾病.

患者可由急性腎炎演變而來,但多無急性腎炎病史.

好發于青年中年,病程長.

診斷要點: 根據臨床表現,本病可分為三型

1 普通型:病程較遲延,尿蛋白定量在1.5g~3.5g/日之間,可有血壓增高,血尿,管型尿和腎功能減退.

2 腎病型:除上述普通型特點外,尿蛋白定量>3.5g/日,血漿蛋白<3.5g/日,總蛋白降低,浮腫多較明顯.

3 高血壓型:除上述普通型特點外,常以持續性中度以上高血壓為突出表現.


慢性肾炎是由多种病因所引起的一种变态反应性疾病.

患者可由急性肾炎演变而来,但多无急性肾炎病史.

好发于青年中年,病程长.

诊断要点:根据临床表现,本病可分为三型

1普通型:病程较迟延,尿蛋白定量在1.5g~3.5g/日之间,可有血压增高,血尿,管型尿和肾功能减退.

2肾病型:除上述普通型特点外,尿蛋白定量>3.5g/日,血浆蛋白<3.5g/日,总蛋白降低,浮肿多较明显.

3高血压型:除上述普通型特点外,常以持续性中度以上高血压为突出表现.


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