远端肾小管性酸中毒(renal tubular acidosis,RTA),可因多种因素诱发。现报道4例如下。 例1 男,39岁。7年前曾诊断为肾盂肾炎及肾结石。今出现多饮多尿,每日出入量约6000～8000ml,体检:右甲状腺下极触及约2×2.5×2cm肿块,无血管杂音,两侧上输尿管点压痛(+),全身骨髂普遍性压 Renal tubular acidosis (RTA) can be induced by a variety of factors. Now reported 4 cases as follows. Example 1 male, 39 years old. 7 years ago diagnosed as pyelonephritis and kidney stones. This appears to drink more urine, the daily intake and drainage of about 6000 ~ 8000ml, physical examination: the right under the thyroid touch of about 2 × 2.5 × 2cm mass, no vascular murmur, ureter pressure points on both sides of the tenderness (+), universal bony iliac Pressure