Salomon M I, Zak F G
New York Medical College, USA.
J Am Geriatr Soc. 1966 May;14(5):475-89. doi: 10.1111/j.1532-5415.1966.tb03074.x.
The role of the kidney in hepatic disease and in gout has been surveyed. Kidney involvement is more common but less severe in hepatic disease, whereas it is less common but more severe in gout. The underlying pathology of the kidney lesions in both diseases (including studies by electron microscopy and immunofluorescence) is presented, with emphasis on the role this pathologic substratum plays in the renal insufficiency. The clinical aspects, including the diagnostic approach and therapeutic management of the "hepatorenal syndrome" and "gouty kidney" are discussed, as are the prognostic implications of the natural history of these "complications" and measures aimed at their prevention.
对肾脏在肝病和痛风中的作用进行了研究。肾脏受累在肝病中更常见但程度较轻，而在痛风中则较少见但程度更严重。介绍了这两种疾病中肾脏病变的潜在病理学（包括电子显微镜和免疫荧光研究），重点强调了这种病理基础在肾功能不全中所起的作用。讨论了临床方面，包括“肝肾综合征”和“痛风肾”的诊断方法和治疗管理，以及这些“并发症”自然史的预后意义和旨在预防它们的措施。
