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[慢性原发性肾小球肾炎中的白蛋白尿性神经视网膜病变]

[Albuminuric neuroretinopathy in chronic primary glomerulonephritis].

作者信息

Ghenoiu R

机构信息

Spitalul C.F.R., Craiova.

出版信息

Oftalmologia. 1993 Oct-Dec;37(4):352-7.

PMID:8286323
Abstract

The case of a 23-year-old young patient, which had an impure nephrotic syndrome and chronic glomerulonephritis, is presented. The evolution was to arterial hypertension, azotemia and albuminuria. The symptomatology was dominated by the ocular signs of AHT and albuminuric neuroretinopathy. The physiopathological mechanisms were of immunological type, starting an inflammatory chronic process at the level of renal glomeruli, together with the diminishing of the glomerular filtration and the appearance of a hypertension in the arterial sector, including the ocular area. The exact diagnosis was the result of a good cooperation between the physician and the ophthalmologist.

摘要

本文介绍了一名23岁的年轻患者,该患者患有不纯性肾病综合征和慢性肾小球肾炎。病情发展为动脉高血压、氮质血症和蛋白尿。症状主要表现为动脉高血压的眼部体征和蛋白尿性视网膜神经病变。生理病理机制为免疫性,始于肾小球水平的慢性炎症过程,同时伴有肾小球滤过功能下降以及包括眼部区域在内的动脉系统高血压的出现。准确的诊断是内科医生和眼科医生密切合作的结果。

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