摘要
目的:总结肾内科会诊病例科室分布及疾病种类特点,探讨肾脏疾病与其他系统疾病的相关性。方法:统计分析肾内科会诊病例的一般状况、疾病症状、临床诊断。结果:会诊病例总数341例。常规会诊281例(82.4%),急会诊60例(15.6%)。会诊科室以大内科最多215例(63%),其中神经内科、心内科、内分泌科最多,分别59例(27.4%)、37例(17.2%)、41例(19.1%);外科47例(13.8%),以泌尿外科、神经外科最多,分别16例(34%)、11例(23.4%)。以血尿、蛋白尿61例(17.9%)、血肌酐、尿素氮异常78例(22.9%)多见。294例(86.2%)继发于会诊科室所属的系统疾病,常见高血压肾病73例(24.8%)、糖尿病肾病67例(22.8%)、尿路感染37例(12.6%)、急性肾损伤33例(11.2%);其他及与医疗相关医源性疾病47例(13.8%)。结论:会诊病例肾损害多与其他系统疾病有关,部分与医源性因素相关。常见病种为高血压肾病、糖尿病肾病、急性肾损伤、尿路感染。常见症状为血尿、蛋白尿,血肌酐、尿素氮异常。外科会诊为手术风险评估,内科会诊为疾病二级预防。
Objective： To investigate the distribution and characteristics of consultation cases about department of Nephrology and to analyze the relationship between kidney disease and other systemic diseases.Methods： The diagnosis and general condition of consultation patients were retrospectively analyzed.Results： The total number of consultation cases 341 cases（154 males,187 females were consulted,including regular consultation in 281 cases（82.4%）,urgent consultation in 60 cases（15.6%）.Department of Neurology 59 cases（17.3%）,Cardiology37 cases（17.2%）,Endocrinology41 cases（19.1%）.The most common consultation hypertensive nephropathy 73 cases（24.8%）,diabetic nephropathy,67 cases（22.8%）,urinary tract infection 37 cases（12.6%）,acute kidney injury 33 cases（11.2%）.Conclusion： The most kidney damage of consultation cases are induced by systematic disorders,some lesions are induced by some iatrogenic factors;the most common disease for consultation is hypertensive nephropathy,diabetic nephropathy,acute kidney injury,urinary tract infection.Most common symptoms of Consultation are hematuria,proteinuria,serum creatinine,blood urea nitrogen exception.The aim of consultation for surgery and medicine is concerned about preoperative evaluations and secondary prevention of kindey disease respectively.
出处
《现代生物医学进展》
CAS
2013年第10期1968-1970,共3页
Progress in Modern Biomedicine
关键词
肾内科
会诊
病例分析
Department of Nephrology
Consultation
Case analysis
