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[孤立性蛋白尿的临床意义]

[Clinical significance of isolated proteinuria].

作者信息

Müller D

出版信息

Z Urol Nephrol. 1982 Mar;75(3):171-4.

PMID:7048797
Abstract

59 patients who, in a mass examination, had been found to have isolated proteinuria were referred to the county dispensary to have this finding clarified, since the urine and serum tests and the X-rays carried out did not lead to any clarification, histological examination of the samples yielded by renal punction was carried out. In 56 cases (93.2%) a glomerular process was found, and in only 3 cases (6.8%) was normal renal tissue found. Since in 50% of the patients affected proteinuria was observed only intermittently or in traces, the previous evaluation of minimal proteinuria must be questioned. The present findings should help to stimulate epidemiological studies on glomerulonephritis. The social necessity of this is shown by the fact that in the majority of dialysis patients glomerulonephritis has les to terminal renal failure.

摘要

在一次大规模体检中被发现有孤立性蛋白尿的59名患者被转至县诊疗所,以便对这一检查结果进行明确,因为所做的尿液和血清检测以及X光检查均未能得出任何明确结论,于是对肾穿刺所获取的样本进行了组织学检查。在56例(93.2%)中发现有肾小球病变,仅3例(6.8%)发现肾组织正常。由于50%的患病患者蛋白尿仅为间歇性出现或微量出现,因此必须对之前对微量蛋白尿的评估提出质疑。目前的研究结果应有助于推动有关肾小球肾炎的流行病学研究。大多数透析患者因肾小球肾炎导致终末期肾衰竭这一事实表明了对此进行研究的社会必要性。

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