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Diagnostic criteria of nephrotic syndrome in children

2017-08-03 17:20

Children with nephrotic syndrome were usually pale, dry skin, dry hair, yellow nail white stripes, ear and nose cartilage weak. And dispirited, listless, anorexia, and sometimes accompanied by diarrhea. In addition to diagnosis based on the signs of medical history, children with nephrotic syndrome may also be diagnosed according to the criteria described below and need to be distinguished from some similar diseases:

Diagnostic criteria:

1, a large number of proteinuria, 3-4 plus signs, for two weeks, 24 hours urine protein total weight of 0.1 grams per kilogram, or greater than 0.05 grams per kilogram of body weight.

2, plasma albumin is less than 30 grams per liter.

3, cholesterol is greater than 5.7 mmol per liter.

4, edema can be light and heavy.

Differential diagnosis:

Nephritic nephrotic syndrome: one or more of the following four can be diagnosed as nephritic nephrotic syndrome.

1, urine microscopy, red blood cells more than 10 times /hp.

2, recurrent hypertension, school-age children greater than 130/90 millimeters of mercury, preschool children greater than 120/80 millimeters of mercury.

3, persistent hypoxemia, urea nitrogen is greater than 10.7 mmol per liter.

4, blood complement C3 decreased repeatedly.

In addition, primary nephrotic syndrome accompanied by nephrotic syndrome and must be comprehensive secondary symptoms or primary nephritis phase identification, such as lupus nephritis, purpura nephritis, acute nephritis etc..

上一篇:What are the common categories of nephrotic syndrome?
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