摘要
分析了６６例糖尿病肾病（ＤＮ）的临床资料，其中大部分患者是８０年代收住院的。限于当时的诊断水平，中晚期（相当于Ｍｏｇｅｎｓｅｎ）分期法的Ⅳ、Ⅴ期）患者占９１％，故预后很差，死亡率高。由此作者提出，在有条件的医院，应开展尿微量白蛋白测定，以检出ＤＮⅢ期患者；开展肾活检，检出ＤＮⅡ期患者；并且注意通过Ｂ超或ＣＴ，及时发现ＤＮⅠ期的重要线索──肾脏体积增大，把ＤＮ早期诊断向前推进一步。
A clinical analysis of 66 cases of
diabetic nephropathy(DN)was presented,with 91 % of the patients belonging to intei-mediate and
advanced stages,(eguivalent to stages Ⅳ and Ⅴof Mogensen'sclassification),because most of
them wereadmitted in 1980s When knowledge of thedisease was limited,and so prognosis
waspoor and mortality,high in this group.It wasemphasized by the authors that in
bettereguipped hospitals,urinary determination ofmicroalbumin would be good for the detec-tion
of stage Ⅲ and renal biopsy for stageⅡDNpatients. Enlargement of kidneys,a veryimportant
clue of stage Ⅰpatients, discoveredeither bv ultiasonic studies or CT,could makepossible
earlier diagnosis of the disease.
出处
《宁夏医学杂志》
CAS
1995年第6期337-339,共3页
Ningxia Medical Journal
