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題 名 | The Clinical Analysis of Acute Glomerulonephritis and Nephrotic Syndrome in Chinese Children=國人兒童急性腎臟炎與腎病症候群的臨床分析 |
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作 者 | 何朝榮; 陳遠浩; | 書刊名 | 醫學研究 |
卷 期 | 15:6 1995.05[民84.05] |
頁 次 | 頁429-439 |
分類號 | 417.574 |
關鍵詞 | 腎病症候群; 急性腎臟炎; 發生率; 類固醇反應良好者; Nephrotic syndrome; N-S; Acute glomerulonephritis; AGN; Incidence; Steroid-responder; |
語 文 | 英文(English) |
中文摘要 | 為瞭解國人兒童之急性腎臟炎與腎病症候群發生狀況及與國外之結果相較,因此做了以下分析:國人14歲以下兒童急性腎臟炎的年發生率約為5/100,000,好發年齡為學齡前兒童。男女比約為2.3:1。從1986年1月到12月,219個急性腎臟火病例統計,補體(C3)降低佔87%,肉眼性血尿77%,血壓上升76%,抗鏈球菌溶解素“O”效價大於1:200 LU為58%,血中高尿素氮(>25mg/dL)佔23%。1985年與1986年國人14歲以下兒童腎病症候群合併各種型式腎絲球疾病的年發生率約4.9/100,000與5.1/100,000。男女比約為2.5:1與2.9:1。所有病例對類固醇反應良好約佔76%與79%。1985年與1986年7歲以下兒童對類固醇反應良好者各類85%及91%,7歲以上兒童對類固醇反應良好者只有59%及52%。對急性腎臟炎而言,雖未有喉頭細菌培養或皮膚有膿疱病之證據,但由本文分析以夏天之發生率為多之結果,可能與皮膚感染之關係為大;腎病症候群對類固醇治療之反應,以與國外之結果相近,而年齡愈小者有愈好的類固醇反應。 |
英文摘要 | AGN and N-S are the two common renal diseases of children. To better understand the incidence and clinical characteristics of AGN and N-S in children of Taiwan and compared with foreignal result, a retrospective study was done. Estimation of the annual incidence of AGN was 5.0 per 100,000 in children of Taiwan under 14 years of age. The highest incidence was in the early school years. The ratio of males of females was 2.3:1. Among 219 cases of AGN from January 1986 to December 1986, depression of serum complement (C3) were detected in 87%, gross hematuria in 77%, elevated blood pressure in 76%, ASO titer greater than 1:200 IU in 58%, high BUN (>25 mg/dL) in 23%. The annual incidence of N-S associated with all forms of primary glomerular disease ranged form 4.9 to 5.1 per 100,000 in children under 14 years of age from January 1985 to December 1986. The ratio of males to females ranged from 2.5:1 to 2.9:1. In our population, the steroid responders ranged from 76 % to 79%. The steroid responders differed significantly among children under 7 and above 7 years of age. There was higher percentage of steroid responders, 85% and 91%, in children under 7 years of age but there was lower percentage of steroid responders, 59% and 52%, in children above 7 years of age in 1985 and 1986 respectively. In our result, though no throat culture or evidence of skin impetigo, the prevalence rate of AGN was greater in summer, which was closely related to the skin infection. The steroid responders rate of N-S was significant difference compared with foreignal result. Anyhow, the younger the age, the greater steroid responder rate. |
本系統中英文摘要資訊取自各篇刊載內容。