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终末期肾疾患可并发肾病综合征。此时因大量蛋白尿而继发低血容量,常给治疗带来很大困难,可威胁患者生命,故有必要采取制止蛋白尿的措施。作者报告1例应用非类固醇抗炎药作药物性肾切除而达到这个目的。患者为44岁男性患膜性肾病的病人,18个月后发展至严重的肾衰竭,高度水肿,有腹水和胸水。BP100/70,有直立性低血压。24小时尿蛋白31g。
End-stage renal disease can be complicated by nephrotic syndrome. At this time due to a large number of proteinuria and secondary hypovolemia, often to the treatment of great difficulties, can threaten the lives of patients, it is necessary to take measures to stop proteinuria. The authors report 1 case of non-steroidal anti-inflammatory drugs for drug-induced nephrectomy to achieve this goal. The patient, a 44-year-old man with membranous nephropathy, developed severe renal failure 18 months later with a high degree of edema, with ascites and pleural effusion. BP100 / 70, there is orthostatic hypotension. 24 hours urinary protein 31g.