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肾小管酸中毒(Renal tubular aeidosis,RTA)是一组并非罕见的疾病。自从1935年Lightood氏首次报道,国内1958年董氏报道以来,至今国内已有267例报道,以成人为主,小儿较少见,分型以Ⅰ型最多。本病临床表现错综复杂,常易误诊。我院儿科1981年至1989年共收治原发性RTA11例,院外全部误诊,入我院时也仅有2例诊断本病,9例误诊为其他疾病,误诊率81.8％。为了提高对本病的认识,重点讨论如何避免误诊的问题。临床资料一、一般情况性别:男7例,女4例。年龄:15天至13岁。病程:最短8天,最长5年。二、临床表现(见表1、2)
Renal tubular aeration (RTA) is a group of diseases that are not uncommon. Since the first report of Lightood in 1935, there were 267 reports in China since the report of Dong’s 1958 in China. Most of them are adults, children are rare, and most of them are type Ⅰ. The clinical manifestations of the disease is complicated, often misdiagnosed. Pediatrics in our hospital from 1981 to 1989 were treated 11 cases of primary RTA, all misdiagnosed outside the hospital, into our hospital, only 2 cases diagnosed the disease, 9 cases misdiagnosed as other diseases, misdiagnosis rate of 81.8%. In order to raise awareness of the disease, we will focus on how to avoid misdiagnosis. Clinical data First, the general situation of gender: male 7 cases, female 4 cases. Age: 15 days to 13 years old. Course of disease: the shortest 8 days, up to 5 years. Second, the clinical manifestations (see Table 1, 2)