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肾小管酸中毒(RTA)临床表现复杂多样,往往容易被误诊或漏诊。为提高对本病的认识,现将笔者收集的10例RTA分析报告如下。1 临床资料1.1 一般资料 10例中男6例,女4例。发病年龄:6个月1例,~1岁4例,~2岁3例,4岁1例,7岁1例。病程:最短2个月,最长12年。有阳性家族史4例。1.2 临床表现 生长发育迟缓9例,多饮多尿7例,肌无力5例,行走困难4例,步态异常6例,关节疼痛6例,纳差、厌食5例,持续发热1例,抽搐2列,肾功能衰竭2例,多发性骨折1例,血尿1例,肾结石2例(其中1例伴有右肾周脓肿),肾钙化3例。体征以佝偻病改变最多,其中方颅6例,
Renal tubular acidosis (RTA) clinical manifestations of complex and diverse, often easily misdiagnosed or missed diagnosis. To improve awareness of the disease, now I collected 10 cases of RTA analysis report is as follows. 1 Clinical data 1.1 General Information 10 males in 6 cases, 4 females. Age of onset: 1 in 6 months, 4 in 1 year, 3 in 2 years, 1 in 4 years and 1 in 7 years. Course of disease: the shortest 2 months, up to 12 years. Have a positive family history in 4 cases. 1.2 clinical manifestations of growth and development retardation in 9 cases, 7 cases of polyhydramnios, muscle weakness in 5 cases, walking in 4 cases, 6 cases of abnormal gait, joint pain in 6 cases, anorexia in 5 cases, 1 case of persistent fever, convulsions 2 cases of renal failure in 2 cases, multiple fractures in 1 case, hematuria in 1 case, 2 cases of kidney stones (1 case with right kidney abscess), 3 cases of renal calcification. Signs rickets change most, including 6 cases of cranial,