黄米酒引起的急性酸盐脏病:一个病例报告
Xi Chen1, Jie Shen1, Yuxue Liu1
1Department of Nephrology, Yangpu Hospital, School of Medicine, Tongji University, Shanghai, 200090, China.
BMC nephrology
|March 26, 2025
概括
过度饮用黄色大米葡萄酒会导致急性损伤 (AKI),原因是氧酸盐的积累. 及时诊断和干预可以恢复功能.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 毒理学 毒理学 毒理学
- 内部医学 内部医学
背景情况:
- 急性酸盐脏病是急性损伤 (AKI) 的罕见原因之一.
- 二次氧酸盐脏病通常与维生素C,某些食物有关,但很少与黄色葡萄酒有关.
- 这一案例突出了一个63岁的男子,与长期饮用黄米酒相关的AKI.
研究的目的:
- 报告一种罕见的急性二级酸盐脏病的病例.
- 调查黄米葡萄酒消费与AKI之间的联系.
- 强调饮食史在AKI诊断中的重要性.
主要方法:
- 一个63岁的男性患者的病例报告.
- 用极化显微镜进行超声导向脏活检.
- 测量24小时尿液中氧酸盐分泌量和血清肌素水平.
- 在治疗干预后监测功能.
主要成果:
- 脏活检显示了急性管管损伤和氧酸盐晶体.
- 一位患者呈现出血清肌氨酸升高 (407μmol/L) 的情况.
- 治疗导致尿液中氧酸盐分泌量减少,并在3个月内使血清肌素正常化.
结论:
- 过多的食氧沙酸盐摄入量,包括从黄色葡萄酒中摄入的,可以导致AKI.
- 脏活检对于诊断来源不明的AKI至关重要.
- 在探索AKI的原因时,调查饮食习惯是必不可少的.
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