高钾性远端肾小管酸中毒与选择性醛固酮缺乏症。一名铅中毒肾病患者的两种病症合并情况。
Hyperkalemic distal renal tubular acidosis and selective aldosterone deficiency. Combination in a patient with lead nephropathy.
作者信息
Ashouri O S
出版信息
Arch Intern Med. 1985 Jul;145(7):1306-7.
PMID:4015282
Abstract
A patient with chronic renal failure, a strong history of moonshine abuse, and excessive urinary lead excretion had clinical and laboratory measurements compatible with combined hyperkalemic distal renal tubular acidosis and the syndrome of selective aldosterone deficiency. Extended treatment with fludrocortisone acetate, 0.1 to 0.2 mg/day, did not ameliorate acidosis or restore potassium excretion.
摘要
一名患有慢性肾衰竭、有大量饮用私酿酒史且尿铅排泄过多的患者，其临床和实验室检查结果符合高钾性远端肾小管酸中毒合并选择性醛固酮缺乏综合征。使用醋酸氟氢可的松进行为期较长的治疗，剂量为每天0.1至0.2毫克，并未改善酸中毒或恢复钾排泄。
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