肾小管性酸中毒(Renal tubular acidosis下简称RTA)是近端或/及远端肾小管功能障碍所致的临床综合征。由于临床表现复杂,故常被误诊或漏诊,至使病人得不到早期诊治。现将近年曾被误诊或漏诊的4例报道如下: 病例介绍例1 男,30岁,住院号288,284。1982年1月11日入院。4岁左右起烦渴、多饮、多尿和夜尿,体格发育迟缓。6年前出现尿痛,腰痛、间有肾绞痛,当地X线诊断肾结石,经治疗缓解。1980年6月腰部 Renal tubular acidosis (RTA) is a clinical syndrome caused by proximal and / or distal tubular dysfunction. Due to the complicated clinical manifestations, it is often misdiagnosed or missed, so that patients can not get early diagnosis and treatment. In recent years, four cases of misdiagnosis or misdiagnosis are reported as follows: Case introduction Example 1 Male, 30 years old, hospitalized 288, 284. Admitted to hospital on January 11, 1982. 4 years old from polydipsia, polydipsia, polyuria and nocturia, physical retardation. 6 years ago, there is dysuria, back pain, between the renal colic, local X-ray diagnosis of kidney stones, after treatment to ease. 1980 June waist