ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2013, Vol. 22 ›› Issue (5): 495-500.

• 论文 • 上一篇    

烫伤后肉眼血尿、急性肾损伤

  

  • 出版日期:2013-10-28 发布日期:2013-10-28

Gross hematuria, acute kidney injure after burn

  • Online:2013-10-28 Published:2013-10-28

摘要:

摘  要 中年男性患者,60%体表面积II-III度烫伤后多次行削痂植皮术,术后反复发热头发抗感染治疗;烫伤1月后渐出现全身水肿、胸闷、气喘,肉眼血尿,尿量减少至无尿,肌酐进行性升高,肾活检证实肾小球100%新月体形成,免疫荧光检查发现IgA沿肾小球毛细血管袢分布,考虑肾脏病变与感染相关。

Abstract:

Abstract  A 59 years old male patient with large area of burn (60% of TBSA, II-III degree) did debridement and skin grafting several times. After skin grafting, the patient fevered repeated and was given anti-infection therapy. One month later, the patient gradually developed edema in the whole body, suppression in the chest and asthma, gross hematuria and urine gradually reduced to anuria, with renal dysfunction progressively. The renal biopsy showed crescents involving 100% of the glomeruli with IgA depositing, considering associated with infection.

Key words: Key words , burn , hematuria , acute kidney injure