BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 尿量减少
  • 咯血
  • 水肿
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其他诊断因素

  • 男性
  • 20至30岁或60至70岁
  • 近期上呼吸道感染
  • 气短
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危险因素

  • HLA-DRB1或DR4
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诊断性检查

首要检查

  • 肾功能检测
  • 肾活检
  • 抗肾小球基底膜（抗-GBM）抗体滴度
  • 抗中性粒细胞胞浆抗体(ANCA)
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治疗流程

推断

可逆性肾病或任何肺部受累

不可逆性肾病

贡献者

作者 查看所有

Senior Lecturer and Honorary Consultant in Nephrology

University of Edinburgh and Edinburgh Royal Infirmary

Edinburgh

UK

利益冲突披露
RGP declares that he has no competing interests.

Dr Richard G. Phelps would like to gratefully acknowledge Professor Andre A. Kaplan and Dr Michael S. Gersch, previous contributors to this monograph. AAK has received honoraria in 2013 to speak about plasma exchange from Gambro and Alexion (Gambro manufactures products for plasma exchange and Alexion manufactures a complement cascade inhibitor). MSG declares that he has no competing interests.

Assistant Professor of Medicine

Division of Nephrology

Department of Medicine

Vanderbilt University School of Medicine

Nashville

TN

利益冲突披露
DBB declares that she has no competing interests.

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