Abboud O L, Osman E M, Musa A R
Department of Medicine, Faculty of Medicine, University of Khartoum, Sudan.
Ann Trop Med Parasitol. 1989 Aug;83(4):411-4. doi: 10.1080/00034983.1989.11812365.
One hundred adult Sudanese patients who presented to Soba University Hospital (SUH) with established chronic renal failure (CRF) were studied to determine the aetiology. Thirty-eight had chronic glomerulonephritis, 12 renal calculi, nine diabetic renal disease, seven chronic pyelonephritis, five sequelae of acute renal failure (ARF), four renal vascular disease, three polycystic disease of the kidneys, and two obstructive uropathy. In 20 patients the aetiology was not determined because of late presentation to hospital. The results were compared with those of the developed countries, which differ greatly from Sudan in climate, diet, race, culture and social habits. The main differences were in the prevalence of renal calculi which, although being the second commonest cause of CRF in the Sudan, were rare in European countries. Also, diabetes mellitus was a much commoner cause of CRF in Sudan than Europe. Other aetiological factors were similar.
对100名前往索巴大学医院(SUH)就诊且已确诊为慢性肾衰竭(CRF)的成年苏丹患者进行了研究,以确定病因。其中38例患有慢性肾小球肾炎,12例有肾结石,9例为糖尿病肾病,7例为慢性肾盂肾炎,5例为急性肾衰竭(ARF)后遗症,4例为肾血管疾病,3例为多囊肾,2例为梗阻性尿路病。20例患者因就诊过晚而病因未明。将结果与发达国家进行了比较,发达国家在气候、饮食、种族、文化和社会习惯方面与苏丹有很大差异。主要差异在于肾结石的患病率,肾结石在苏丹虽然是CRF的第二大常见病因,但在欧洲国家却很罕见。此外,糖尿病在苏丹导致CRF的情况比在欧洲更为常见。其他病因因素相似。