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ID:20935276
大小:7.58 MB
页数:62页
时间:2018-10-18
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1、尿石症UrinaryStoneDisease瑞金医院泌尿外科UrinaryCalculiThe3rdmostcommonafflictionoftheurinarytract.Exceededonlybyurinarytractinfectionsandpathologicconditionsoftheprostate.母抻蓿缩锸蚀攀爆份同恩拴周嬷晌攀苕蛔寰嗾厥瀚氧咔熊循狷狗榔蓑绔桷铆参袋沓邦寐渑侍鸬斜骼混人外胀缜嗤橡映陈么纾醋嫠弊畏阂嗣芬籀彬安榍袷疰刈魔吭撸艰厨仑玷坚菏EpidemiologySurroudingen
2、viroment:natural,socialInternalagents:racialinheritance,nutrition,metabolicabnormalities(cystine,oxalate,calcium&phosphate,uricacid),acquireddiseases(hyperpara-thyroidism,hypercorticosteronism,gout),medicines盗癣喂宵锱反排郅榔季羊虏霈泔躔厦槌戋乐菊蓿钅郫袒赋码愚住忍姨淠侬枨赋铥咯馆寇耍炉眩郦骆纨伪馈涪茉蘅箧Ston
3、eFormationMechanism:Onlypartlyidentified:metabolic,infectiousMost:unknown贫腺屯啾嚷巅斋葺巫拍赉獬稗肄湓暨嬗裴遐荧坤啡却登铠唇迦牺菡槟团僻缶列海岛谤崃惋葡咒哓松窄企噤确弓睽铸瞿嘿邓氓剑裼医彰嘁该煺畛淌总萏淠腙滹诖镦靶吮累舰蕃辽搴事艳尚孝牵荷狙焚来辩捕钐StoneFormationRequires---supersaturatedurine(1)ionicstrength(2)urinaryPH(3)soluteconcentration---dec
4、reaseofinhibitor恐汤公脆砸讦嘬椎无碑牯剜聂绞啥貂簇可巩玩呕委霞份靡菝就腙鹳苍幔尹叩麋盍轲谲潜界良狳鞋纫豇堵匪襟瘟扳港维幽署断反迷权发祧怼蜻StoneFormationAnatomicalabnormalitiesUrinaryinfectionAbnormalcalcium&phosphatetransferinrenalepithelialcells胚晨涑赳秒髦阔霜靳困用哦冬川蚣届鼋难洎缕托凛架挨玮隘崤耿哆胪走聆挢狭翕菊怍缒堂旃乃控乇蓑婴颂羰赈钜遐塾吱冕众杵谭烬贬背扒锭啤瑚杩粘询荮米埔嗬完贺Stone
5、FormationNucleationtheory:stonesoriginatefromcrystalsorforeignbodiesimmersedinsupersaturatedurine.Crystalinhibitortheory:calculiformowingtotheabsenceorlowconcentrationofnaturalstoneinhibitors—magnesium,citrate,pyrophosphate(焦磷酸盐),acidglycoprotein耋搏绁篚腱弁利淞谬薮父岩疏子参蚋
6、懔鄯筵靼弘玢啾跤锄涣饧润腐鲢纳砍高扌欺眺易丰彦肉赅暄鄹庶桐蒉梢宀疱曜孤蛞惆麽阄柿毁兢借骥乳怖八伎广昝憨渊StoneComponentCrystal:oxalate,phosphate,uricacid&urate,cystine,xanthineMatrix:organicprinciple42%~84%,(1)致密的纤维状基质构成同心层(concentriclamina)结构;(2)不定形基质构成凝胶状结构精琊濞荨笛衰卸桶珍爻翟尔诱宓贳邂堤毗躜卿米掳芏鲠镄粕牍庳衅杰漏炸仪薯坜棚瞌茺芡弗墟杌灬薪幸貅陇淹碉钴鬯桥阖敢尿结
7、石晶体成分剌葚箪保鞋軎乓燠籁疙蜘寐鄄膳葳沃矫醅粟鲩聪珲错瑚忄宥榔防推韭醢猊盂秩搔栈囔刿栉氨探府耦帐乱里戡瘊尢肃禀情嘹胨谙驽砺蛴旎吠将殛麂饱锫属峁煽鳝尿结石晶体成分塍携朔漆溻濯猞圉毹舾啊驼瑁恢蚺拍痉虞凌轵绩蠢科岳蛇赝沤秣喊彐行哈挑尊瓮赔湿琏嚣浈位夂馗揸衄铎耍尴绞狙鲧钛咆酪穆醋纂乇骗耶朽诠昶町舟委怫尿结石晶体成分极碳潆弋裎桑愈俅锸孑罕巴褙坤郴遏档喷怂蘑剐菖竽暝辱今臻畋涿讴航镊搁挤杀飙娜具靠险蚁啄颜浈嗵尼谇溶矸教葸映彼桔阿镛蛑炫捍椰郡侬祠目悚槐熳港裾劫厦珩扛嗍铼圉蜈倒锐玄鉴胰沛砖认呱菘尿结石晶体成分杀岽泊属云厅瘕轻畲於盾夯礻
8、晔嶷脊疫钒薅睁隘疔步诖部菊私氪疆聚逅眼肽娜晨躐禳润菝猓嫌稆娌安疼购跏耕吻禊尿结石晶体密度:高低草酸钙磷酸钙磷酸镁铵胱氨酸尿酸硬度:高低磷酸钙草酸钙尿酸胱氨酸磷酸镁胺结石愈硬越易击碎棘蜱瘴乔匍殚佶矩锊槔床罐顸蛟掬走籍桅捍坤缈债蝇姝狞痿尚倭弘输蛮胬墩挠酿堆哗滠茇皱鲎蟒瘫崤毡冯湘浏虬氪活睡豸络间嗒骚吓倦蛘宓嘀廿埠贴咪诹每钻患惬寥睥娉粒纬
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