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自1974年Brzosko等报告了在32例小儿免疫复合物肾炎中有18例在肾小球内检得HBsAg以来,乙型肝炎相关性肾炎日益受到儿科工作者的重视。由于目前在我国尚未广泛开展肾活检以及电镜和免疫荧光检查,确诊本病存在一定困难。为此本文收集了我院住院患儿曾检测过HBsAg的肾小球疾病275例,分HBsAg(+)组和(-)组进行分析对比,总结其临床经过特点,旨在探讨乙型肝炎相关性肾炎的临床诊断标准。
Since 1974, Brzosko et al reported that in 32 cases of pediatric immune complex nephritis in 18 cases of HBsAg detected in glomeruli, hepatitis B-related nephritis is increasingly valued by pediatricians. Due to the current in our country has not yet carried out extensive renal biopsy and electron microscopy and immunofluorescence, diagnosis of the disease there are some difficulties. To this end, this article collected 275 cases of glomerular disease in our hospitalized children who had been detected HBsAg, HBsAg (+) group and (-) group were analyzed and compared to summarize the characteristics of its clinical features, to explore the relevance of hepatitis B Nephritis clinical diagnostic criteria.