严重烧伤病人早期肾功能损害与早期糖尿症的相关性研究
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烧伤；糖尿；肾功能,崔光怀孙风英韩兆东郝玉玲冯玉英
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崔光怀 孙风英 韩兆东 郝玉玲 冯玉英
摘 要：目的：通过对严重烧伤病人进行应激性糖尿症和早期肾功能损害等并发症观察研究，进一步了解其发病机制。方法：对1994年1月至2000年1月收住院的中-重度烧伤病人进行血Na、K、CI、Ca、Mg、P、BS、BUN、Cr、UA、TNFα、INS、β2-MG及尿糖、尿PRO、尿pH、尿β2-MG等进行监测。结果：发现5例病人在血糖不高的情况下出现糖尿和不同程度的肾功能损害。结论：部分严重烧伤病人早期糖尿是由肾脏近曲小管吸收障碍引起。
关键词：烧伤；糖尿；肾功能
分类号：R644； R692 文献标识码：A
文章编号：1001-0726(2001)02-0070-03
A Study of the Correlation of Glucosuria to the Renal Function of Severe Burn Patients at the Early Stage
Cui Guang-huai(Dept. of Surgery, Affiliated Hospital, of Binzhou Medical College, Binzhou 256603)
Sun Feng-ying(Dept. of Surgery, Affiliated Hospital, of Binzhou Medical College, Binzhou 256603)
Han Zhao-dong(Dept. of Surgery, Affiliated Hospital, of Binzhou Medical College, Binzhou 256603)
Abstract：Objective: To investigate the mechanism of stress glucosuria and renal function impairment in early stage of severe burn. Method: The levels of Na+,K+,Cl-,Ca++,Mg++, P, BS BUN, Cr UA, TNFα, INS, β -MG in blood and that of glucose, PRO, pH, β-MG in urine were monitored on patients with moderate and severe burns. Results: Five patients were found to have glucosuria and renal function impairment, while the blood sugar level was within normal range. Conclusion: Glucosuria in part of the patients may arise from re-absorption dysfunction of renal proximal convoluted tubules.
Keywords：Burn； Glucosuria； Renal function
基金项目：本课题为滨州医学院徐荣祥科研基金资助
作者简介：崔光怀 (1964- )，男 (汉族 )，山东汶上县人，山东滨州医学 院毕业，主治医师 . 孙凤英 (1965- )，女 (汉族 )，山东漳化县人，山东潍坊医学 院毕业，主治医师 . 韩兆东 (1963- )，男 (汉族 )，山东邹平县人 ......
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