【醫(yī)學(xué)課件】腎病總論(英語(yǔ))張玖強(qiáng)

1、Urinary System DiseaseLiu Fu-You MD.Urinary System DiseaseLiu Fu-1. Reviews of Anatomy and Physiology of Urinary System1. Reviews of Anatomy and (1) kidneyL T11L2R T12L3(1) kidney10cm in length5cm in width4cm in thickness134 148g in weight(1) kidney10cm in length(1) kidney(2) Renal Cortexrenal corte

2、x 8090% of glomerulusGlomerular capsule renal medulla renal tubule(2) Renal Cortexrenal cortex (3) GlomerulusGlomerular Filtration Membraneendothelial cellsbasementepithelial cells(3) GlomerulusGlomerular Filtr(4) Renal tubuleproximal convolute reabsorptiondistal convolute regulating of acid-base ba

3、lance(4) Renal tubuleproximal convoRenal tubular diseases(renal, tubular, acidosis)Type(dRTA)Type(pRTA)+Renal tubular diseases(renal, (5) Renal InterstitiumInterstitial cellsFibrocyteExtracelluar matrixPathogenic microorganismimmunoreactionAcute interstitial nephritisChronic interstitial nephritisIn

4、terstitium (5) Renal InterstitiumIntersti(6) Renal Pelvis, UreterRenal pelvisureter Pathogenic microorganismpyelonephritis(upper urinary tract)(6) Renal Pelvis, UreterRenal (7) Urinary Bladder,UrethraUrinary bladderUrethra(Lower urinary tract)Pathogenicmicroorganismcystourethritis(7) Urinary Bladder

5、,UrethraUri2. Symptoms of Glomerular Disease2. Symptoms of Glomerular DiProteinuriahematuriaedema hypertension nephritis syndromeProteinurianephritis syndrome(proteinuria3.5g/day)Proteinuria+nephrotic syndrome(proteinuria3.5g/day)nephrotiproteinuria150mg/24hrProteinuria analysisglomerular tubular ov

6、erflow secretory or1.5g/24hr 150mg/24hrProteinuhematuria Dysmorphic Rbc Hemogeneous RbcCalculus,tumor,TB,infectionGlomerular diseasehematuria Dysmorphic Hemogehypertensionrenal parenchymaRenal vesselArleriae renalis stenosisvolume dependentrenin dependenthypertensionrenal parenchymaReEdemaGlomerular

7、 Filtrate Rate(GFR) Plasma colloid osmotic pressure AnasarcaLocal edemaLower extremity edemaEdemaGlomerular Filtrate RatePCommon Clinical Laboratory Assessment of Renal DiseaseCell protein cast glomerular tubular IVP CT renal biopsy MRI Cr Ccr GFR PSP MosthsRenal diseaseurinalysisRenal functionSpecial examinationCommon Clinical Laboratory Ass3. Treatment of Glomerular Disease3. Treatment of Glomerular DRemoval causesCorticosteroidImmunosuppressiveSymptomatic and supportingPrimary Glomerular nephritisAnti-inflammatoryChinese herbsRemoval c