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远端肾小管酸中毒(DRTA)合并肾结石国内鲜见报道。我院收治1例,现报告如下: 男,53岁。持续渐进性骨关节痛半年。体检:制动体位,行走需拐棍。全身关节明显压痛,胸廓尤甚,上肢末梢肌力减弱。实验室检查:血pH7.26,CO_2cp24.9Vol/L,K~+3 mmol/L,Cl~-113mmol/L,Ca~(2+)2.6mmol/L,P~-0.8mmol/L;尿pH7.02;PSP试验:15分钟酚红排出量是25%,2小时排出总量75%;血BUN10mmol/L,Cr78.7μmol/L;碳酸氢钠重吸收实验(+);氯化胺试验尿pH无变化。X线片示骨质密度降低。1983年1月5日以肾小管酸中毒住我院内科治疗。经复方枸
Distal renal tubular acidosis (DRTA) with renal stones rarely reported in China. A hospital admitted to our hospital, are as follows: Male, 53 years old. Continuous progressive bone and joint pain for six months. Physical examination: Brake position, walk walking stick. Body joints were tenderness, particularly in the thorax, upper limb distal weakness. Laboratory tests: blood pH7.26, CO_2cp24.9Vol / L, K ~ +3 mmol / L, Cl ~ -113mmol / L, Ca2 + 2.6mmol / L, P ~ -0.8mmol / pH 7.02; PSP test: Phenol red excretion was 25% in 15 minutes and excreted 75% in 2 hours; Blood BUN 10mmol / L and Cr78.7μmol / L; Sodium bicarbonate reabsorption test Urinary pH unchanged. X-ray showed bone density decreased. January 5, 1983 to renal tubular acidosis live in our hospital medical treatment. The compound Citrus