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| 소아의 만성 신부전증의 원인 질환 및 치료의 현황 |
| 박혜원 , 하일수 , 정해일 , 최용 , 이현순 |
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| Abstract |
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We analysed the demographic data, clinical course and forms of renal replacement therapy of 149 children with chronic renal failure observed between 1985 and 1995. The most frequent cause of CRF is chronic primary glomerulonephritis(35%of the total) followed by chronic pyelonephritis(23%), Induding obstructive uropathy and reflux nephropathy. Reflux nephropathy (1996) was the most common cause of CRF as a single disease entity. In children under five years of age chronic pyelonephritis(42%) predorninates chronic primary glomerulonephritis(12%). Most patients with end-stage renal disease received renal transplant from living related donor after some period of main- tenance of dialysis. The cardiovascular disorders were the main cause of death(4 patients). Survival of patients with CRF improved markedly from 22% in 1980-1985 to 88% in 1985-1990; this might be due in part to the improvement of dialysis and transplantation techniques and that of socioeconomic status. |
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