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Alport综合征是遗传性肾脏病之一。近年国内已有少数报道,但以肾小管酸中毒为主要肾脏表现的病例却不多见。我院收治2例,现报告如下: 例1,郑某,女,53岁,工人。患者13岁时患过中耳炎,听力下降。20岁时开始视力下降配戴700度近视眼镜。2年前出现头晕、眼花、乏力、贫血。1年前因恶心、呕吐伴腰痛住我院。患者父母兄弟无肾脏病史,一个女儿患近视,有时出现腰痛,尿检查发现红细胞,其它无异常。查体:一般情况好,发育正常,精神差、贫血貌,心肺无异常。双肾区叩击痛,双侧输尿管压痛点无压痛。实验室检查:Hb 40g/L,ESR7mm/h;
Alport syndrome is one of the hereditary kidney disease. In recent years, there have been a few reports in China, but the renal tubular acidosis as the main renal manifestations are rare. 2 cases admitted to our hospital, are as follows: Example 1, Jeong, female, 53 years old, workers. Patients suffering from otitis media at age 13, hearing loss. 20 years old began to lose vision wearing 700 degrees glasses. 2 years ago, dizziness, vertigo, fatigue, anemia. A year ago because of nausea, vomiting, lumbago in our hospital. Patients with no history of kidney disease, parents, a daughter suffering from myopia, sometimes low back pain, urine examination found that red blood cells, the other no abnormalities. Physical examination: the general situation is good, normal development, poor spirit, anemia appearance, no abnormal heart and lung. Kidney area percussion pain, bilateral ureter tenderness no tenderness. Laboratory tests: Hb 40g / L, ESR7mm / h;