小儿血尿诊治中的一些问题精品ppt课件.ppt

李 丹;血 尿;发生率(Prevalence);小儿血尿的病因分类;小儿血尿临床诊断步骤;小儿血尿临床诊断步骤;小儿血尿临床诊断步骤;小儿血尿临床诊断步骤;区分肾小球或非肾小球性血尿;尿中红细胞严重变形机制;肾小管渗透梯度变化对尿中红细胞形态的影响; ;尿液本身(pH，化学成份、尿酶等)对尿中红细胞形态的影响;;判断尿中MDR时应注意事项;高钙尿症;高尿钙的原因;高钙尿症;高钙尿症诊断;高尿钙症治疗;胡桃夹现象;胡桃夹现象与血尿;Alport综合征;Alport综合征临床表现;Alport综合征的诊断;其他表现血尿的遗传性疾病;多囊肾(PKD) ADPKD：发病较晚，血尿，反复泌感。 双肾多个液性囊泡， 常最后ESRD，还常伴肝胰受累 PKD1(16p13.3突变，编码多囊蛋白1，pc1) PKD2(4q21-23突变，编码多囊蛋白2 pc2 ARPKD：婴幼儿发病。 肾集合管, 肝内胆管扩张，畸形 最终肝、肾纤维化，尿检常无异常 PKHD1基因(6p21.1-12)突变而引起 (编码fibrocystin);甲髌综合征 指甲、髌骨等骨发育不良 伴眼和肾病变 表现： 血尿、蛋白尿 多呈良性经过，部分ESRD。 位于9q34.1编码LMXIB的基因突变 (影响肢骨和GBM发育的转录因子); ;kG$eAW8uQ2oK(iE#bxT5rN+lH%fBX9vR3pL(iE#cyU6sO0mIgCYawR3pL)jF!dzV7tP1nJ*hCYawS4qM-kG$eAW8uQ2nJ*hDZbxT5rN+lH%fBX9uQ2oK(iE#cyU6sO0mIfBX9vR3pL)jF!dzV7tP0mIgCYawS4qM-kG$eAV7tP1nJ*hDZbxT5rN+lG$eAW8uQ2oK(iE#cyU6sN+lH%fBX9vR3pL)jF!dyU6sO0mIgCYawS4qM-jF!dzV7tP1nJ*hDZbxT4qM-kG$eAW8uQ2oK(iEZbxT5rN+lH%fBX9vR3pK(iE#cyU6sO0mIgCYawR3pL)jF!dzV7tP1nJ*hCYawS4qM-kG$eAW8uQ2nJ*hDZbxT5rN+lH%fBX8uQ2oK(iE#cyU6sO0mI%fBX9vR3pL)jF!dzV7tO0mIgCYawS4qM-kG$eAV7tP1nJ*hDZbxT5rN+lG$eAW8uQ2oK(iE#cyU6rN+lH%fBX9vR3pL)jF!cyU6sO0mIgCYawS4qM)jF!dzV7tP1nJ*hDZbxT4qM-kG$eAW8uQ2oK(iEZbxT5rN+lH%fBX9vR3pK(iE#cyU6sO0mIgCYavR3pL)jF!dzV7tP1nJ*gCYawS4qM-kG$eAW8uQ1nJ*hDZbxT5rN+lH%fBX8uQ2oK(iE#cyU6sO0mI%fBX9vR3pL)jF!dzV7tO0mIgCYawS4qM-kG$ezV7tP1nJ*hDZbxT5rN+kG$eAW8uQ2oK(iE#cyU5rN+lH%fBX9vR3pL)jF!cyU6sO0mIgCYawS4qM)jF!dzV7tP1nJ*hDZbxS4qM-kG$eAW8uQ2oK(iDZbxT5rN+lH%fBX9vR3oK(iE#cyU6sO0mIgCYavR3pL)jF!dzV7tP1nJ*gCYawS4qM-kG$eAW8uQ1nJ*hDZbxT5rN+lH%fBW8uQ2oK(iE#cyU6sO0mH%fBX9vR3pL)jF!dzV7sO0mIgCYawS4qM-kG$ezV7tP1nJ*hDZbxT5rN+kG$eAW8uQ2oK(iE#cyU5rN+lH%fBX9vR3pL)jF#cyU6sO0mIgCYawS4qL)jF!dzV7tP1nJ*hDZbwS4qM-kG$eAW8uQ2oK(iDZbxT5rN+lH%fBX9vR3oK(iE#cyU6sO0mIgCY9vR3pL)jF!dzV7tP1nJgCYawS4qM-kG$eAW8uP1nJ*hDZbxT5rN+lH%fBW8uQ2oK(iE#cyU6sO0mH%fBX9vR3pL)jF!dzV7sO0mIgCYawS4qM-kG$dzV4qM-kG$eAW8uP1nJ*hDZbxT5rN+lH%fAW8uQ2oK(iE#cyU6sO0lH%fBX9vR3pL)jF!dzV7sO0mIgCYawS4qM-kG$dzV7tP1nJ*hDZbxT5rN-kG