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常见病合理用药丛书:慢性肾炎合理用药358问(第2版)

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《常见病合理用药丛书:慢性肾炎合理用药358问(第2版)》以一问一答的形式,告诉大家慢性肾炎的合理用药,至关重要;为您答疑解惑,指点迷津;助您明明白白用药;轻轻松松治疗!何谓慢性肾炎?什么是慢性肾炎综合征?慢性肾炎的病因和发病机制是什么?慢性肾炎是常见病吗?怎样知道自己患了慢性肾炎?什么是蛋白尿?什么是生理性蛋白尿?什么是功能性蛋白尿?什么是体位性蛋白尿?什么是病理性蛋白尿?什么是镜下血尿?等内容。本书内容通俗易懂,阐述深入浅出,适合于慢性肾炎患者及其家属阅读参考。
Content Description

《常见病合理用药丛书:慢性肾炎合理用药358问(第2版)》采用问答的形式,全面而详细地介绍了慢性肾炎的用药知识,包括药物的作用机制、临床应用及注意事项、适应证、禁忌证,以及与其他药物的相互作用等,同时还介绍了中成药及多种行之有效的单验方。
《常见病合理用药丛书:慢性肾炎合理用药358问(第2版)》内容丰富,重点突出,适合于广大慢性肾炎患者及其家属阅读参考。
Catalogue

基础知识
1.何谓慢性肾炎?
2.什么是慢性肾炎综合征?
3.慢性肾炎的病因和发病机制是什么?
4.慢性肾炎是常见病吗?
5.怎样知道自己患了慢性肾炎?
6.什么是蛋白尿?
7.什么是生理性蛋白尿?
8.什么是功能性蛋白尿?
9.什么是体位性蛋白尿?
10.什么是病理性蛋白尿?
11.什么是血尿?
12.什么是镜下血尿?
13.什么是肉眼血尿?
14.什么是肾小球性血尿?
15.什么是运动性血尿?
16.什么是假性血尿?
17.什么是肾性水肿?
18.什么是管型尿?
19.什么是肾性高血压?
20.出现蛋白尿就是肾炎吗?
21.尿蛋白越多就表示肾脏损害程度越严重吗?.
22.蛋白尿对慢性肾炎的预后有何影响?
23.蛋白尿减少就一定表示慢性肾炎病情好转吗?
24.尿色发红就是血尿吗?
25.尿潜血阳性是血尿吗?
26.有血尿就是慢性肾炎吗?
27.慢性肾炎患者尿液为什么会出现大量泡沫?
28.尿液混浊就是肾炎吗?
29.尿量异常与慢性肾炎的关系如何?
30.出现水肿就是肾炎吗?
31.水肿的程度与肾脏病损的程度是否成正比?
32.为什么慢性肾炎有顽固性持续性高血压?
33.高血压对慢性肾炎的预后有何影响?
34.腰痛是肾炎患者的主要症状吗?
35.肾炎是否要用抗生素“消炎”治疗?
36.慢性肾炎与慢性肾盂肾炎一样吗?
37.慢性肾炎都是由急性肾炎迁延而来的吗?其起病方式有哪些?
38.慢性肾炎急性发作如何与急性肾炎区分?
39.如何区分是慢性肾炎引起的高血压还是高血压性肾损害?
40.扁桃体炎与慢性肾炎的关系如何?
41.慢性肾炎患者为什么要预防感冒?
42.慢性肾炎能治愈吗?
43.慢性肾炎会复发吗?
44.慢性肾炎病程慢性化的机制是什么?
45.慢性肾炎是否会遗传?
46.慢性肾炎急性加重的原因有哪些?
47.慢性肾炎活动的观察指标有哪些?
48.慢性肾炎患者为什么会出现贫血?
49.慢性肾炎一定会发展为慢性肾功能衰竭吗?
50.慢性肾炎究竟要经过多长时间才发展为慢性肾功能衰竭?
51.慢性肾炎什么情况下容易发展为慢性肾功能衰竭?
52.慢性肾炎患者出现肾功能衰竭还能逆转吗?
53.慢性肾炎的预后如何?
54.如何根据临床表现判断慢性肾小球肾炎预后?
55.如何根据病理类型判断慢性肾小球肾炎预后?
56.常见继发性肾炎有哪些?
57.什么是狼疮性肾炎?
58.慢性肾炎与狼疮性肾炎有什么区别?
59.什么是过敏性紫癜性肾炎?
60.什么是糖尿病肾病?
61.什么是高血压性肾损害?
62.什么是尿酸性肾病?
63.什么是乙肝病毒相关性肾炎?
64.淀粉样变肾损害是怎么回事?
65.什么是胡桃夹综合征?
66.何为腰痛——血尿综合征?
67.什么是隐匿性肾小球肾炎?
68.什么是遗传性肾炎?
69.什么是薄基底膜肾病?
70.什么是良性家族性血尿?
71.什么是放射性肾炎?
72.如何看尿常规化验单?
73.如何看血色素化验单?
74.如何正确留取尿液?
75.进行肌酐清除率测定的注意事项有哪些?
76.发现水肿应做哪些检查?
77.发现蛋白尿应做哪些检查?
78.发现血尿应做哪些检查?
79.尿本一周蛋白测定有何临床意义?
80.尿微量白蛋白测定有何临床意义?
81.24小时尿蛋白测定有何临床意义?
82.血、尿B2-微球蛋白测定有何临床意义?
83.循环免疫复合物测定有何临床意义?
84.血清补体测定有何临床意义?
85.尿酶测定有何临床意义?
86.尿溶茵酶测定有何临床意义?
87.观察肾功能状况主要看哪几个指标?
88.什么是肌酐清除率?有何临床意义?
89.血肌酐的来源及临床意义?
90.什么是血尿素氮?有何临床意义?
91.肾脏B超有何临床意义?
92.什么是放射性核素肾图检查?对慢性肾炎诊断有何价值?
93.怎样才能确诊慢性肾炎?
94.慢性肾炎临床如何分型?
95.什么是肾穿刺活检?肾脏病患者为什么要做肾活检?
96.肾穿刺活检有何意义?
97.肾穿刺活检有何不足之处?
98.什么情况下考虑肾穿刺活检?
99.什么情况下不宜肾穿刺活检?
100.肾穿刺前应做好哪些准备?
101.肾穿刺后有何注意事项?
102.肾穿刺可能会产生哪些并发症?
103.怎样预防和处理肾穿刺产生的并发症?
104.肾穿刺会遗留长期后遗症吗?
105.慢性肾炎有哪些病理类型?
106.何为1gA肾病?
合理用药
Book Abstract

95.什么是肾穿刺活捡?肾脏病患者为什么要做肾活检?
肾穿刺检查全称“经皮肾穿刺活体组织检查”,又称肾活检。它是活体获取肾组织标本做病理检查的重要手段。肾活检是诊断肾炎的重要检查方法之一,对确定诊断、探讨临床与病理的联系、决定治疗方案和估计预后都有重要价值。经肾活检后疾病临床诊断的修正率达34%~63%,治疗方案修正率达19%~36%,预后估计修正率达32%~36%。对于内科各种原发、继发及遗传性肾实质疾病而无肾穿刺禁忌证者,均可进行肾穿刺。其具体适应证及禁忌证由专业医生掌握。
96.肾穿刺活检有伺意义?
肾组织病理检查包括光学显微镜检查、电子显微镜检查及免疫荧光(或免疫组织化学)检查。这多种检查资料的综合,显著地提高了疾病诊断的准确性。所以,肾穿刺活检对确定肾小球疾病诊断、制定治疗方案及判断预后都很有意义,它已成为肾内科常做的一项重要检查。
具体来说,肾穿刺活检对肾小球疾病诊断有如下帮助:
(1)确定是否患了肾炎如体位性蛋白尿与隐匿性肾炎有时在临床上极难鉴别,只有做肾穿刺病理检查才能将二者准确I爰分。
(2)确定是患了哪种肾炎肾小球肾炎可分为原发性及继发性两大类,它们各自又包含着许多不同性质的肾炎,如原发性肾小球肾炎至少就包括有9种病理类型,不同病理类型在疾病进展速度、治疗方案、疗效反应及预后上差别极大,因此做肾穿刺活检将它们准确区分很重要。
(3)确定病变轻重及是否可逆有时疾病的临床与病理表现并不平行,只有做肾穿刺病理检查才能准确了解病变轻重,并了解病变是活动病变(如细胞增生或浸润,具有可逆性)或已是不可逆性病变(如纤维化及硬化)。只有明确上述各诊断问题后,才能准确制定治疗方案及判断疾病预后。
……

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