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自然疫源性疾病相关肾损伤
作者:孙世仁 
单位:710032 西安 空军军医大学附属西京医院肾脏内科(孙世仁) 
关键词:自然疫源性疾病 肾损伤 部队官兵 
分类号:R37;R691.6
出版年,卷(期):页码:2019,44(7):568-573
摘要:

部队官兵因需作业、训练介入自然疫源地可感染发病甚至引发自然疫源性疾病流行,是自然疫源性疾病的高发人群之一。自然疫源性疾病包括流行性出血热、血吸虫病、莱姆病、钩端螺旋体病、疟疾等,具有流行规律及临床表现复杂多变的特点。肾脏是自然疫源性疾病容易受累的器官,早期明确诊断并给予积极有效的治疗是降低自然疫源相关肾损伤病死率和防止进展至终末期肾病的关键。该文重点介绍了自然疫源性疾病(流行性出血热、血吸虫病、钩端螺旋体病、疟疾、莱姆病)相关肾损伤的临床、病理表现及防治措施,以期提高临床医师对其的诊疗认识。

Officers and soldiers of the army are one of the populations with high incidence of natural focus diseases since they should enter or contact with the natural foci due to military actions and training, and thereby gets infection even leads to the epidemic of natural focus diseases. The natural focus diseases include epidemic hemorrhagic fever, schistosomiasis, Lyme disease, leptospirosis, and malaria, etc., and possess the complex and changeable characteristics in epidemic regularity and clinical manifestation. Kidney is the easily vulnerable organ by natural focus diseases. Early definite diagnosis and active and effective treatment is the key to reduce the mortality and progress of natural epidemic-related renal injury to end-stage kidney disease. The present paper mainly introduces the clinical, pathological manifestations and prevention and treatment of renal injury caused by natural focus diseases (epidemic hemorrhagic fever, schistosomiasis, leptospirosis, malaria, Lyme disease), in order to improve the understanding of diagnosis and treatment of natural focus diseases-related kidney injury.

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