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作者同意Mott等关于埃及血吸虫感染和膀胱损害与血尿关系的论点,然而对蛋白尿亦可能由膀胱损害而来的看法提出了异议。蛋白尿通常为肾小球病变的结果,也可起因于肾小管。在埃及血吸虫感染时,常有继发于输尿管梗阻的肾盂积水存在,可影响肾小管的功能。作者在放射学检查中观察到有膀胱异常者常伴有尿道狭窄与扩张以及肾盂积水。因此认为低位泌尿道梗阻性病变有可能导致与肾脏损害有关的蛋白尿。此外,约
The authors agree with Mott et al. On the relationship between schistosomiasis infection in Egypt and the relationship between bladder damage and hematuria, but raised the issue that proteinuria may also be caused by bladder damage. Proteinuria is usually the result of glomerular lesions and can also result from the tubules. Schistosoma japonicum infection, often secondary to ureteral obstruction hydronephrosis exist, can affect the function of the renal tubules. The authors observed in the radiological examination of bladder abnormalities often accompanied by urethral stricture and expansion and hydronephrosis. Therefore, low urinary tract obstructive lesions that may lead to kidney damage associated with proteinuria. In addition, about