糖尿病肾病伴重度蛋白尿1例

Pei Yu, Manman Lu, Dongwei Liu, D. Gao
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摘要

我们在此报告一例晚期快速进展的糖尿病肾病,最终接受长期肾脏替代治疗。1例53岁男性高血压伴重度蛋白尿,DKD进展迅速[估计肾小球滤过率(eGFR): 18 mL/min/1.73m2;蛋白尿:12.21 g/d]。肾活检显示糖尿病肾病(III级)伴严重间质病变和肾小管萎缩。尽管进行了积极的治疗,但蛋白尿和血压控制得很差。病人最终成为透析依赖。我们认为这与他的蛋白尿和高血压有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diabetic nephropathy patient with heavy proteinuria: A case report
Abstract We herein report a case of advanced stage rapidly progressive diabetic nephropathy that finally received long-term renal replacement therapy. A 53-year-old man with hypertension and heavy proteinuria suffered rapid progression of DKD [estimated glomerular filtration rate (eGFR): 18 mL/min/1.73m2; proteinuria: 12.21 g/d]. Renal biopsy revealed diabetic nephropathy (Class III) with severe interstitial lesion and tubular atrophy. Despite aggressive treatment, the proteinuria and blood pressure were poorly controlled. The patient finally became dialysis dependent. We hold the position that this is related to his proteinuria and hypertension.
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