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作者报告1例结节性多动脉炎(PN)并发肾功能衰竭的患者应用血液透析及肾移植治疗成功.该例系45岁,男性,1967年体检发现高血压.1970年患严重鼻衄,血压200/150毫米汞柱,眼底检查有高血压性视网膜病变,尿蛋白150毫克%,血尿素氮23毫克%,血清肌酐2.6毫克%.肾功能进行性恶化,1972年尿蛋白3.3克/24小时,血清肌酐4.6~10毫克%.1973年出现尿毒症症状.同年4月开始血液透析.
The authors report the success of hemodialysis and renal transplantation in one patient with polyarteritis nodosa (PN) complicated by renal failure, a 45-year-old man who developed hypertension in a medical examination in 1967. In 1970, he developed severe epistaxis, Blood pressure was 200/150 mmHg, hypertensive retinopathy was detected in the fundus, urinary protein was 150 mg%, blood urea nitrogen was 23 mg%, and serum creatinine was 2.6 mg% .Degradation of renal function was progressed. In 1972, urinary protein was 3.3 g / 24 Hours, serum creatinine 4.6 ~ 10 mg%. Uremic symptoms occurred in 1973. Hemodialysis began in April the same year.