Precht K
Klinik für Innere Medizin Theodor Brugsch, Humboldt-Universität zu Berlin.
Z Gesamte Inn Med. 1990 Aug 15;45(16):495-6.
The specialist for general medicine and for internal medicine, respectively, in the primary consultation must express the suspicion of the occurrence of a renal disease on the basis of the anamnesis and the findings of the clinical examination and confirm or exclude it by simple diagnostic tests. It is entered into the individual test component in diagnostics. The securing of the diagnosis, the judgement of the renal function as well as differential-therapeutic considerations for the further care are to be performed by the results of the diagnostic steps II (basic diagnostics, in special questionings by step III). About 100,000 patients with renal diseases are country-wide cared for at present, in whom 11% already suffer from a renal insufficiency. It is referred to the most important recommendations for therapy in bacterial and glomerular renal diseases.
在初次会诊时,普通医学专家和内科专家必须根据病史和临床检查结果,怀疑是否出现肾脏疾病,并通过简单的诊断测试进行确认或排除。这被纳入诊断的各个测试部分。诊断的确定、肾功能的判断以及进一步治疗的鉴别性治疗考虑,将依据诊断步骤II(基础诊断,特别是步骤III中的详细询问)的结果来进行。目前全国约有10万名肾病患者正在接受治疗,其中11%已经患有肾功能不全。文中提及了细菌性和肾小球性肾病最重要的治疗建议。