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在慢性肾功能衰竭的病人身上,即使没有少尿或者显著的肾小球滤过率减少的情况下,高钾血症和经常地高氯血症性酸中毒也不是少见的,在用最新的肾脏和肾上腺功能的测定方法以前,当时有这些征候的病人被划入二个一般的诊断范畴:低肾素性醛固酮缺乏症(SHH)或者肾小管排钾的缺陷。醛固酮缺乏症在慢性肾功能不全的高钾血症病人身上是常有的,而醛固酮缺乏症最常见并发于糖尿病肾病和慢性间质性肾炎。虽然通常被人认为高钾血症
In patients with chronic renal failure, hyperkalemia and often hyperchloremic acidosis are not uncommon even without oliguria or with a significant decrease in glomerular filtration rate. With the most recent Methods of Determining Renal and Adrenal Functions In the past, patients with these signs were classified into two general diagnostic categories: hypogonadal aldosterone deficiency (SHH) or tubular deregulation. Aldosterone deficiency is common in patients with chronic renal insufficiency and hyperkalemia, and aldosteronism is most commonly associated with diabetic nephropathy and chronic interstitial nephritis. Although usually considered hyperkalemia