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怎样诊断尿酸性肾病?

来源:[标签:来源] | 发布时间:2011-07-24 10:26:49 | www.chinesejk.com

  中年以上男性肾病患者,伴有痛风表现(关节病变及痛风石),血尿酸>357微摩尔/升,尿尿酸排泄增加(>1克/天)、尿液分析和肾功能呈间质性肾炎表现,可诊断为尿酸性肾病。鉴别诊断主要是判断属原发性或继发于其它肾脏疾病。

  (1)前者血尿酸/血肌酥>2.5,以尿酸升高较为突出,后者则呈比例上升。

  (2)前者常伴有痛风性关节炎或急性痛风性关节病,多累及大路趾第一关节,后者少见。

  (3)前者尿尿酸血症出现于氮质血症之前,后者则不然。

  (4)后者多有其它肾脏病史。

(编辑:小鱼 )

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