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如果患者没有肠道疾病或白血病,患者尿中每毫克肌苷溶菌酶浓度>3μg,则反映患者肾小管疾病或小管功能紊乱。本文作者对42例经皮肾穿刺造瘘和取石术的患者进行尿溶菌酶检查来评估肾脏对手术的反应。42例患者入院后马上采血和尿标本,并在术前、以及术中从肾穿刺通道中和Foley导尿管中、术后1~3天从肾造瘘管和Foley导尿管中取尿液标本。血清及尿液溶菌酶活性测定采用比浊法。结果显示8例患者术中从穿刺侧肾脏所取的尿液尿溶菌酶活性显著升高(4.2~21.1 μg/mg肌昔),此后,尿溶菌酶明显下降,术后第3天所
If the patient does not have intestinal disease or leukemia, the urine of patients with urinary creatinine lysozyme concentration of> 3μg, then reflect the patient’s tubular disease or tubule dysfunction. The authors evaluated urine renal response to surgery in 42 patients who underwent percutaneous nephrostomy and lithotripsy with urine lysozyme. 42 patients were admitted to hospital immediately after admission of blood and urine samples, and preoperatively and intraoperatively from the renal puncture channel and Foley catheter, 1 to 3 days after surgery from the renal fistula and Foley catheter urine specimen. Serum and urine lysozyme activity assay using turbidimetry. The results showed that urinary lysozyme activity in urine collected from the puncture side of the kidney in 8 patients was significantly increased (4.2-21.1 μg / mg / hm 2), and urine lysozyme was significantly decreased after 3 days