摘要
报告远端肾小管酸中毒１６例，其中完全型２例，不完全型１４例。完全型有高氯低钾性酸中毒，不完全型无酸中毒，但氯化铵负荷试验阳性。在口服枸橼酸钾期间，两型均观察到尿钙明显降低，尿ｐＨ和枸橼酸显著升高，完全型代谢性酸中毒得到纠正。对远端肾小管酸中毒的诊断和治疗进行了讨论。
cases of distal renal tubular acidosis were diagnosed and treated, 2 being the complete and 14 the incomplete type, The complete type is associated with hyperchloremia, hypopotassemia and systemic metabolic acidosis. In the incomplete type systemic acidosis is absent, but ammonium chloride load test is positive. With oral administration of potassium citrate, a significant increase of urinary citrate and PH and decrease of urinary calcium were observed in both types, and is the complete type a correction of systemic acidosis was observed. The diagnosis and treatment of distal renal tubular acidosis were discussed.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1994年第6期441-442,共2页
Chinese Journal of Urology
