Muíño Miguez A, Robles Perez N R, González Ramallo V J, Tato Rocha R, Rodríguez de Castro E
Servicio de Medicina Interna, Hospital General Gregorio Marañón, Madrid.
An Med Interna. 1989 Jan;6(1):36-40.
Diabetic nephropathy is one of the most serious complications of diabetes mellitus because of the associated mortality and morbility. The proteinuria, together with hypertension and renal function, are the clinical features. It is linked with a major prevalence of the other late complications of the disease. In recent years progress has been made in the knowledge of the natural history of the disease, as well as, its predictive factors. We review the etiopathogenia, the actual therapeutic management with special emphasis on hypertension treatment and the controversial metabolic control.
糖尿病肾病是糖尿病最严重的并发症之一,因其具有相关的死亡率和发病率。蛋白尿、高血压及肾功能是其临床特征。它与该疾病其他晚期并发症的高发生率相关。近年来,在该疾病自然史及其预测因素的认识方面取得了进展。我们综述其病因、当前的治疗管理,特别强调高血压治疗以及存在争议的代谢控制。