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目的:通过分析我院收治的1例肾小球毛细血管内皮病合并甲状腺功能减退患者的诊治过程,结合相关文献,探讨此病的临床特点和诊疗方法。方法:报告北京军区总医院收治的1例肾小球毛细血管内皮病合并甲状腺功能减退病例的其临床资料及诊疗过程,并复习相关文献,对肾小球毛细血管内皮病合并甲状腺功能减退的病因、临床表现、诊断、治疗及预后进行分析,并总结其诊疗经验。结果:1例肾小球毛细血管内皮病合并甲状腺功能减退患者经综合治疗后病情好转出院,出院后继续接受对症治疗,目前患者恢复良好。结论:肾小球毛细血管内皮病的发病率低,合并甲状腺功能减退更少见,其发病原因不明,部分与药物、毒物或者病毒感染有关,多数病例对症治疗后预后较好。
OBJECTIVE: To analyze the diagnosis and treatment of glomerular capillary endothelial disease in patients with hypothyroidism treated in our hospital, and to discuss the clinical features and diagnosis and treatment methods of the disease with related literatures. Methods: The clinical data and diagnosis and treatment course of 1 case of glomerular capillary endothelial disease with hypothyroidism admitted to the General Hospital of Beijing Military Region were reviewed. Relevant literatures were reviewed, and the etiology of glomerular capillary endothelial disease with hypothyroidism , Clinical manifestations, diagnosis, treatment and prognosis analysis, and summed up their diagnosis and treatment experience. Results: One case of glomerular capillary endothelial disease with hypothyroidism after the comprehensive treatment of patients improved condition out of hospital, continue to receive symptomatic treatment after discharge, the patient recovered well. Conclusion: The incidence of glomerular capillary endothelial disease is low, with less common hypothyroidism, the etiology of unknown cause, in part with the drug, poisons or virus infection, the majority of cases after the symptomatic treatment better prognosis.