今天是:          
戴彧君 陈志祥 张 弛 佘艳军▲.ANCA相关性血管炎透析患者1例临床分析[J].中国现代医生,2021,59(6):145-147
ANCA相关性血管炎透析患者1例临床分析
Clinical analysis of a dialysis patient with anti-neutrophil cytoplasmic antibody-associated vasculitis
  
DOI:
中文关键词:  ANCA  相关性血管炎  终末期肾病  透析
英文关键词:ANCA  Associated vasculitis  End-stage renal disease  Dialysis
基金项目:
作者单位
戴彧君 陈志祥 张 弛 佘艳军▲ 云南省滇南中心医院肾脏内科云南蒙自 661100 
摘要点击次数: 1707
全文下载次数: 4497
中文摘要:
      抗中性粒细胞胞浆抗体(ANCA)相关性血管炎(AAV)是一种累及多个系统且呈坏死性的血管炎。该病所涉及的系统比较零散,典型症状不明显,因此十分容易引起误诊、漏诊。且如果不进行及时有效的治疗,该病十分容易发展为终末期肾病,对患者的生命健康造成严重影响。因此,对该病进行早期诊断并进行及时合理治疗,控制病情的发展,可使患者预后得到明显改善。临床上常采用糖皮质激素联合细胞毒性药物作为AAV 首选治疗方法。对于需要透析或血肌酐迅速升高、合并弥漫性肺出血、AAV 和抗GBM 肾炎重叠综合征的患者,建议加用血浆置换。由于AAV 临床表现复杂,且缺少特异性实验室检查。因此临床医护人员需提高对该疾病的认识,才能及时准确地诊断并制定治疗方案。本文就1 例AAV 累及肾脏且需要透析者进行详细报道。
英文摘要:
      Anti-neutrophil cytoplasmic antibody(ANCA)-associated vasculitis (AAV) is a kind of necrotizing vasculitis involving multiple systems.The system involved in the disease is scattered and the typical symptoms are not obvious,so the misdiagnosis and missed diagnosis are frequently occurred.Moreover,without timely and effective treatment,the disease will easily develop into advanced stage,which will seriously affect the life and health of patients.Therefore,early diagnosis and timely and reasonable treatment can control the development of the disease and improve the prognosis of patients.Glucocorticoid combined with cytotoxic drugs is often used as the firs-line treatment for AAV.Plasma exchange is generally recommended for patients who need dialysis or whose serum creatinine rises rapidly,complicated with diffuse pulmonary hemorrhage,AAV and anti-GBM nephritis overlap syndrome.Due to the fact that the clinical manifestations of AAV are complex and lack of specific laboratory tests,medical staff need to improve their understanding of the disease,so that they can diagnose the disease timely and accurately and make treatment plans.A case of AAV involving kidney and requiring dialysis was reported in detail.
查看全文  查看/发表评论  下载PDF阅读器
关闭
    • 关键词 :
    • 中国医生
    • 中国现代医生
    • 中国临床医生
    • 中国医师
    • 主任医师
    • 中国医学
    • 中华医学
    • 中国医院
    • 中国医药
    • 中国医疗
    • 现代医生
    • 现代医学
    • 现代医药
    • 现代医院
    • 现代药物
    • 现代护理
    • 现代临床
    • 医学杂志
    • 药学杂志
    • 医药杂志
    • 医生杂志
    • 医师杂志
    • 医疗杂志
    • 医药期刊
    • 医学期刊
    • 医药卫生期刊
    • 医药论文
    • 医学论文
    • 科研论文
    • 职称论文
    function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=3C06DB566315F8DC9C11E1E6BF64A1F9D08E7EB89654B7115BE74EBF71A309F1190BF8ED554D16E6B283102291A4026F50574537B1A1D7F8163CAD6F23A00DF2EEEBDC629AD6196280B1F2E74B637DBA5A2727E99F4A985D70A0EEBA98EAE3B0E4EC15748F914B0E&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=BB33F1C95224820A&jid=8EDAEC11C165015425CEEA15366CB0A7&yid=9475FABC7A03F4AB&aid=&vid=&iid=B31275AF3241DB2D&sid=769BD58726D66E7D&eid=2922B27A3177030F&fileno=2022063&flag=1&is_more=0">