结节病肾损害1例报告并文献复习
结节病肾损害1例报告并文献复习
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Full title
结节病肾损害1例报告并文献复习
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Journal title
解放军医学杂志, 2013, Vol.38 (9), p.767-771
Language
Chinese
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Contents
目的通过分析1例结节病肾损害患者的临床资料并结合文献复习,提高临床医师对于结节病肾损害的认识和诊治水平。方法报告1例结节病肾损害,分析其病史、临床表现、病理特征及诊治过程,复习国内外相关文献,总结结节病肾损害的诊治经验。结果患者为女性,39岁,以＂咳嗽、发热＂为主要首发表现,1月余后出现＂蛋白尿、镜下血尿＂等肾损害表现。胸部CT示纵隔及双侧肺门淋巴结肿大,气道黏膜及肾穿刺活检均发现非干酪坏死性肉芽肿,确诊为结节病肾损害。给予糖皮质激素联合环磷酰胺治疗,取得较好效果,尿蛋白、尿钙降至正常,镜下血尿消失,胸部CT示纵隔及肺门淋巴结较前明显缩小。结论结节病肾损害临床较少见,临床表现不典型,早期诊断、及时治疗,可取得较好效果。
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Full title
结节病肾损害1例报告并文献复习
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TN_cdi_chongqing_primary_47124394
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https://devfeature-collection.sl.nsw.gov.au/record/TN_cdi_chongqing_primary_47124394
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ISSN
0577-7402
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