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血友病患者的血尿及其对肾功能和蛋白尿的影响。

Haematuria in patients with haemophilia and its influence on renal function and proteinuria.

作者信息

Benedik-Dolnicar M, Benedik M

机构信息

National Haemophilia Center, Haematooncology Department, University Children's Hospital, Ljubljana, Slovenia.

出版信息

Haemophilia. 2007 Sep;13(5):489-92. doi: 10.1111/j.1365-2516.2007.01445.x.

Abstract

To investigate renal function in a group of patients with a history of haemophilia and haematuria. We reviewed 32 medical records of the patients with haemophilia and gross haematuria identified through a computerized haemophilia registry, from January 1993 to December 2004. In all patients but three (two refused to participate and one died) clinical and laboratory tests were performed by the nephrologist. One patient had chronic renal failure because of diabetic nephropathy. In two patients reduced renal function was detected by creatinine clearance measurements, and one of them had Duchenne muscular dystrophy. In four patients minimal proteinuria was diagnosed by the biuret method. Mild reduction in renal function of unknown cause was found in only one of the 29 patients tested.

摘要

为研究一组有血友病和血尿病史患者的肾功能。我们回顾了1993年1月至2004年12月期间通过计算机化血友病登记系统确定的32例血友病和肉眼血尿患者的病历。除3例患者(2例拒绝参与,1例死亡)外,所有患者均由肾病科医生进行了临床和实验室检查。1例患者因糖尿病肾病患有慢性肾衰竭。2例患者通过肌酐清除率测量检测到肾功能减退,其中1例患有杜氏肌营养不良症。4例患者通过双缩脲法诊断为微量蛋白尿。在29例接受检测的患者中,仅1例发现了原因不明的轻度肾功能减退。

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