论文部分内容阅读
原发性胆汁性肝硬化的病因可能与自身免疫有关。作者报告1例患者同时存在免疫复合性疾病。患者男性,66岁,因持续性疲劳乏力就诊。检查发现血压220/110mmHg,肝稍大,蛋白尿,24小时尿蛋白6 g,尿沉渣可见红、白细胞管型,血红蛋白、白细胞及血小板计算正常,第1小时血沉降率106mm,血浆钠141mmol/L,钾4.1mmol/L,血尿素6.8 mmol/L(41mg%),肌酐73μmol/L(0.82mg%),肌酐清除率68ml/min;静脉肾盂造影正常;
The etiology of primary biliary cirrhosis may be related to autoimmunity. The authors report that one patient had an immune complex disease at the same time. Male patient, 66 years old, due to persistent fatigue. Blood pressure 220 / 110mmHg, liver slightly larger, proteinuria, 24-hour urine protein 6 g, urine sediment visible red, white blood cell tube, hemoglobin, white blood cells and platelets were normal, the first hour of blood sedimentation rate 106mm, plasma sodium 141mmol / L, potassium 4.1 mmol / L, blood urea 6.8 mmol / L (41mg%), creatinine 73μmol / L (0.82mg%), creatinine clearance 68ml / min; normal intravenous pyelography;