论文部分内容阅读
本文报告肾小管性酸中毒的七种起病类型各一例,即低钾肌麻痹、骨关节痛、慢性酸中毒、肾性尿崩、低钙手足搐搦、低钾心律紊乱及尿路结石。病程中曾分别被误诊为周期性麻痹、类风湿性关节炎、休克酸中毒、尿崩症、神经官能症、风湿性心肌炎和冠心病等。分析其误诊原因、并结合病理生理对诊断线索及鉴别要点作了讨论。早期诊断对于本病十分重要,上述各种起病类型常成为本病的诊断线索,了解这些表现并认识其复杂性,多样性,将有助于本病的早期诊断。
This article reports one case of each of the seven onset types of renal tubular acidosis, hypokalemic muscular paralysis, osteoarthritis, chronic acidosis, renal insufficiency, calcium twitch, hypokalemia, and urinary tract stones. Periods were misdiagnosed as periodic paralysis, rheumatoid arthritis, shock acidosis, diabetes insipidus, neurosis, rheumatic myocarditis and coronary heart disease. Analysis of the causes of misdiagnosis, combined with the pathophysiology of clues to diagnosis and the main points were discussed. Early diagnosis of this disease is very important, the various types of onset often become the diagnosis of the disease clues to understand these performance and understanding of its complexity and diversity, will help the early diagnosis of the disease.