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肾小球高滤过和高灌注与肾病的发生和进展有关吗?

[Are glomerular hyperfiltration and hyperperfusion involved in the development and progression of nephropathies?].

作者信息

Kokot F, Kuska J

机构信息

Nephrologische Klinik der Schlesischen Medizinischen Akademie in Katowice.

出版信息

Z Urol Nephrol. 1988 Jun;81(6):359-66.

PMID:3063012
Abstract

In the present paper the significance of non-immunological factors in the development and progression of nephropathies according to the hypothesis of Brenner et al. especially hemodynamic changes in the glomerula with glomerular hyperperfusion and/or hyperfiltration is discussed and therapeutic conclusions are made. The normalized glomerular pressure conditions (converting-enzyme inhibitors), a normalization of hyperglycemia in diabetics, a retention in the use of protein-rich diet and platelet-aggregation inhibitors, respectively, play a special part in the treatment of chronic nephropathies.

摘要

根据布伦纳等人的假说,本文讨论了非免疫因素在肾病发生和发展中的意义,尤其是肾小球高灌注和/或高滤过引起的肾小球血流动力学变化,并得出了治疗结论。标准化的肾小球压力条件(转换酶抑制剂)、糖尿病患者高血糖的正常化、分别保持富含蛋白质饮食的摄入以及使用血小板聚集抑制剂,在慢性肾病的治疗中发挥着特殊作用。

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