论文部分内容阅读
我院1980～1994年收治高原性蛋白尿63例,现就发病,治疗及预后问题探讨如下。 临床资料 男性54例,女性9例,年龄20～51岁;患者全部生活在海拔3000米以上的高原上,经全面体检均排除心、肺、肝、肾、血液系统等器质性疾病。48例(76.19％)因体检后就诊,9例(14.29％)以茶色尿入院,6例(9.52％)因咳嗽、咳痰起病。50例起病时有轻重不一的慢性高原反应症状。此外8例腰肌受损,因训练和劳动伤;5例劳累过度,其中2例分别齿龈出血及鼻衄。在藏居留时间为3～12年,<5年者12例,5～10年者38例,>10年者13例。实验室检查:尿常规示尿蛋白+21例、++38例、+++4例,++++1例。24h尿蛋白定量0.4～1.8g,其中<0.5g者12例,0.5～1.0g者45
Our hospital from 1980 to 1994 were treated 63 cases of proteinuria in high altitude, now on the incidence, treatment and prognosis issues are discussed below. Clinical data 54 males and 9 females, aged 20 to 51 years; all patients living in the altitude of 3000 meters above the plateau, after a comprehensive physical examination were excluded heart, lung, liver, kidney, blood system and other organic diseases. 48 cases (76.19%) were hospitalized after examination, 9 cases (14.29%) were hospitalized with brown urine, 6 cases (9.52%) were due to cough and sputum. 50 cases of varying degrees of onset of chronic altitude sickness symptoms. In addition, 8 cases of lumbar muscle injury due to training and labor injuries; 5 cases of overwork, including 2 cases of gingival bleeding and epistaxis. Residence in Tibet for 3 to 12 years, <5 years in 12 cases, 5 to 10 years in 38 cases,> 10 years in 13 cases. Laboratory tests: urinary routine urinary protein showed +21 cases, ++ 38 cases, +++ 4 cases, ++++ 1 case. 24h urinary protein quantitative 0.4 ~ 1.8g, of which <0.5g in 12 cases, 0.5 ~ 1.0g 45