Dunfee T P
Division of Nephrology and Hypertension, Henry Ford Hospital, Detroit, USA.
Hosp Pract (1995). 1995 May 15;30(5):45-9, 53-5. doi: 10.1080/21548331.1995.11443198.
The outlook used to be grim: Dipstick-positive proteinuria usually meant that renal failure was inevitable. But now the diagnosis can be made early with the triad of increased kidney size, elevated GFR, and microalbuminuria. Moreover, management that emphasizes strict glycemic control, control of elevated blood pressure, and ACE inhibition can prevent or retard the process.
试纸法检测呈阳性的蛋白尿通常意味着肾衰竭不可避免。但现在，通过肾脏增大、肾小球滤过率升高和微量白蛋白尿这三联征可早期做出诊断。此外，强调严格血糖控制、控制血压升高以及使用血管紧张素转换酶抑制剂的治疗方法可以预防或延缓这一进程。
