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犬猫蛋白尿

Proteinuria in dogs and cats.

作者信息

Harley Leyenda, Langston Cathy

机构信息

New Haven Central Hospital for Veterinary Medicine, 843 State Street, New Haven, CT 06511, USA.

出版信息

Can Vet J. 2012 Jun;53(6):631-8.

PMID:23204582
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3354822/
Abstract

Proteinuria is defined as the presence of protein in the urine. Normally, circulating serum proteins are blocked by the glomerulus due to size and/or charge. Any small proteins that pass through a healthy glomerulus are reabsorbed by the renal tubules or broken down by renal tubular epithelial cells. Persistent proteinuria, in the absence of lower urinary tract disease or reproductive tract disease, is usually an indication of renal damage or dysfunction. Less commonly persistent proteinuria can be caused by increased circulating levels of low molecular weight proteins. This article reviews mechanisms of proteinuria in dogs and cats and discusses the importance of screening for and ultimately treating proteinuria.

摘要

蛋白尿的定义为尿液中存在蛋白质。正常情况下,循环血清蛋白因大小和/或电荷被肾小球阻挡。任何通过健康肾小球的小分子蛋白质会被肾小管重吸收或被肾小管上皮细胞分解。在没有下尿路疾病或生殖道疾病的情况下,持续性蛋白尿通常表明肾脏受损或功能障碍。持续性蛋白尿较少见的原因可能是循环中低分子量蛋白质水平升高。本文综述了犬猫蛋白尿的机制,并讨论了筛查及最终治疗蛋白尿的重要性。

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本文引用的文献

1
Protein-losing nephropathy in small animals.小动物的失蛋白性肾病
Vet Clin North Am Small Anim Pract. 2011 Jan;41(1):31-62. doi: 10.1016/j.cvsm.2010.09.006. Epub 2010 Dec 16.
2
2010 ACVIM small animal consensus statement on leptospirosis: diagnosis, epidemiology, treatment, and prevention.2010 年 ACVIM 小动物传染病共识声明:钩端螺旋体病的诊断、流行病学、治疗和预防。
J Vet Intern Med. 2011 Jan-Feb;25(1):1-13. doi: 10.1111/j.1939-1676.2010.0654.x. Epub 2010 Dec 13.
3
Addition of angiotensin receptor blockade or mineralocorticoid antagonism to maximal angiotensin-converting enzyme inhibition in diabetic nephropathy.在糖尿病肾病中,于最大程度的血管紧张素转换酶抑制基础上加用血管紧张素受体阻滞剂或盐皮质激素拮抗剂。
J Am Soc Nephrol. 2009 Dec;20(12):2641-50. doi: 10.1681/ASN.2009070737. Epub 2009 Nov 19.
4
Evaluation of predictors of the development of azotemia in cats.猫氮质血症发生预测因素的评估。
J Vet Intern Med. 2009 Jul-Aug;23(4):806-13. doi: 10.1111/j.1939-1676.2009.0339.x.
5
Reduction of proteinuria with angiotensin receptor blockers.使用血管紧张素受体阻滞剂降低蛋白尿
Nat Clin Pract Cardiovasc Med. 2008 Jul;5 Suppl 1:S36-43. doi: 10.1038/ncpcardio0806.
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Associations between proteinuria, systemic hypertension and glomerular filtration rate in dogs with renal and non-renal diseases.患有肾脏疾病和非肾脏疾病的犬蛋白尿、系统性高血压与肾小球滤过率之间的关联。
Vet Rec. 2008 Feb 2;162(5):141-7. doi: 10.1136/vr.162.5.141.
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