Ignatova M S, Kharina E A, Iaroshevskaia O I, Fokeeva V V, Baltaev U B, Brydun A V
Ter Arkh. 1994;66(6):45-51.
The paper presents the results of clinical and laboratory examination made in 3 groups of children: populational, hospital and control (a total of 176 patients). The children were diagnosed to have variants of dysmetabolic nephropathy (DN) which had become a problem not only for urolithiasis-endemic regions, but also for the Middle Russia. The study involving characterization of cytomembranes, renal tissue biopsy allowed conclusion on nonspecific DN symptoms. Obligatory symptoms were those of OCC, microhematuria and/or mild proteinuria, changes in cytomembranes, weak tubular function, tubulo-interstitial changes. DN genesis is thought multifactorial, involving genetic predisposition, biochemical defects, ecological hazards.
该论文展示了对3组儿童进行临床和实验室检查的结果:人群组、医院组和对照组(共176例患者)。这些儿童被诊断患有代谢紊乱性肾病(DN)的不同变体,这不仅成为了尿路结石流行地区的一个问题,在俄罗斯中部地区也是如此。对细胞膜进行表征的研究以及肾组织活检得出了关于非特异性DN症状的结论。必然症状包括OCC、微量血尿和/或轻度蛋白尿、细胞膜变化、肾小管功能减弱、肾小管间质变化。DN的发病机制被认为是多因素的,涉及遗传易感性、生化缺陷、生态危害。