Diseases causing end-stage renal failure in New South Wales.
Diseases causing end-stage renal failure in New South Wales.
复制标题
新南威尔士州导致终末期肾衰竭的疾病。
作者：
J. H. Stewart;S. McCarthy;B. Storey;B. Roberts;E. Gallery;J. Mahony
对403例终末期肾功能衰竭患者进行了原发肾脏疾病的定性，其中317例经肾脏组织学检查证实为临床诊断。肾小球肾炎(31%)、止痛性肾病(29%)、原发性膀胱输尿管反流(8%)、高血压(6%)、多囊肾(5%)等5种疾病占20例以上。只有4例肾功能衰竭是由慢性肾盂肾炎引起的，没有明显的原发病原因。尿路造影术和膀胱镜检查及常规尿液水杨酸盐检查是早期诊断“肾盂肾炎”的主要原因。据估计，新南威尔士州15-55岁人群中终末期肾功能衰竭的发病率每年至少为每百万总人口中有34例新病例。
The nature of the original renal disease was determined in 403 consecutive cases of end-stage renal failure, in 317 of which the clinical diagnosis was corroborated by histological examination of the kidney. Five diseases accounted for 20 or more cases--glomerulonephritis (31% of the total), analgesic nephropathy (29%), primary vesicoureteral reflux (8%), essential hypertension (6%), and polycystic kidneys (5%). In only four cases did renal failure result from chronic pyelonephritis without a demonstrable primary cause. Greater use of micturating cystography and cystoscopy and routine urine testing for salicylate are advocated for earlier diagnosis of the major causes of "pyelonephritis". The incidence of end-stage renal failure in people aged 15-55 in New South Wales was estimated to be at least 34 new cases per million of total population each year.