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系统性红斑狼疮(SLE)为一自身免疫性免疫复合体(IC)病,可累及多个脏器,几乎所有患者都有肾脏损害,但以肾小管酸中毒为主要临床表现者在国内尚属罕见,现将我院收住一例报告如下:患者女性,1982年8月44岁时出现口干多饮多尿,每日饮水8—9磅,尿量>3000毫升/日。同年9月突然发生两腿无力,行动困难,门诊测血钾为2.75mEq/L,静脉滴注氯化钾后症状明显好转,血钾升至5.7mEq/L。此后常间断服用氯化钾。1983年4月18日因上述症状复发,夜尿增多,消瘦乏力,不思饮食住院。查体T37℃,P80/分,R20/分,BP128/80mmHg。消瘦,
Systemic lupus erythematosus (SLE) is an autoimmune immune complex (IC) disease involving multiple organs, almost all patients have kidney damage, but the main clinical manifestations of renal tubular acidosis in the country are still Rare, now admitted to our hospital as a case report is as follows: Female patients, August 1982 44 years old appeared dry mouth and more polyuria, drinking 8-9 pounds daily, urine output> 3000 ml / day. The same year in September suddenly legs weakness, mobility difficulties, out-patient serum potassium was 2.75mEq / L, intravenous potassium chloride significantly improved symptoms, serum potassium rose to 5.7mEq / L. Since then often take potassium chloride. April 18, 1983 recurrence of the above symptoms, nocturia, weight loss, do not think diet in hospital. Physical examination T37 ℃, P80 / points, R20 / points, BP128 / 80mmHg. thin,