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 :对重度烧伤病人进行血 BS、BUN、Cr、UA、TNFα、INS、β2 - MG及尿糖、尿 PRO、尿 p H、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。
Objective:To study the mechanism of stress glucosuria concerning renal function impairment in early-stage severe burns.[WT5HZ]Methods:The levels of Na +,K +,Cl -,Ca 2+ ,Mg 2+ ,P 3- ,BS,BUN,Cr,UA,TNF α,INS,β 2-MG in blood and that of glucose,PRO,pH and β 2-MG in urine were monitored in patients with moderate and severe burn patients hospitalized from Jan 1994 to Jan 2000.[WT5HZ]Results:Five burn cases were found to have glucosuria and renal function impairment while blood sugar was within normal range.[WT5HZ]Conclusion:The glucosuria of some of severely burnt patients may arise from reabsorptional dysfunction of renal proximal convoluted tubules. [WT5HZ]
出处
《滨州医学院学报》
2000年第6期536-537,共2页
Journal of Binzhou Medical University