{"nowTime30":1785245660235,"lyBarModerator":null,"metaSearch":{"description":"　　肾病综合征是小儿常见肾脏疾病，以大量蛋白尿、低白蛋白血症、高脂血症和水肿为主要临床特点，家属在护理患儿时应注意以下问题。\n　　一、为患儿制定合理健康的饮食计划\n　　家属要为患者制定合理健康的饮食计划。在饮食的控制上，每天要保证0.8～1.0g/kg的蛋白质摄入量，蛋白质的摄入以食用大豆或动物蛋白","keywords":"儿童肾病综合征的护理要注意什么_洞医","title":"儿童肾病综合征的护理要注意什么_洞医","channels":null},"identificate":{"id":"0300b4bddfaf11e6a61c00163e04584d","isDel":0,"createAt":1484985344390,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","realName":"赵玉","certifiedStatus":2,"phone":"111111111111","email":"2276635444@qq.com","hospitalId":"31c19c1b453011e69d4700163e005165","departmentId":"2000","illName":"","illId":"793a72a2bb5f11e6a61c00163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1484985951761.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"儿科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1696","isDel":0,"createAt":1483439342218,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"北京协和医院肾内科","type":101,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":"110000","cityId":"110101","illId":null,"hospitalId":"15009","keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"description\":\"洞医为您提供:北京协和医院肾内科电话、北京协和肾内科专家、协和医院肾脏内科病友的治疗经验等相关信息，让您在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"北京协和医院肾内科电话_北京协和肾内科专家_协和医院肾脏内科_洞医\",\"title\":\"北京协和医院肾内科电话_北京协和肾内科专家_协和医院肾脏内科_洞医\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"1587","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肾病综合症的预防措施有哪些","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal; text-align: left;\">　　肾病综合症的发病率很高，这个病可以发生在任何年龄的人身上，所以导致不少人担心自己会得这个病，为了我们的健康，我们一定要了解这种疾病，在生活中多加预防，保障我们的身体健康，接下来就请专家给我们讲讲，肾病综合症的预防措施有哪些。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　1、一般措施：尿少而肿甚者，应卧床休息，注意保暖。卧床可增加肾血流量，有利于利尿，并减少对外界接触的机会以防交叉感染。但仍应保持适度床上及床旁活动，以防肢体血管的血栓形成。水肿消退、症状缓解后可逐步增加活动，可户外活动至轻度劳动。如果出现活动后尿蛋白增加则应酌情减少活动。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　2、饮食调护：中医治疗，十分强调饮食宜忌，孙思邈在《千金要方》中明确指出：&ldquo;大凡水肿难治，瘥后特须慎于口味&rdquo;，&ldquo;莫恣意咸物&rdquo;。历代又不断给予补充，择其要点，可概括为盐、水、油腻厚味以及借助食物补益精血四方面。亦就是现代所提出的水和钠盐、蛋白质、脂肪以及微量元素等适当摄较低的蛋白摄入可以纠正肾小球毛细血管的高压状态。因此，对于慢性、非极期的肾病综合征应摄入较少量、高质量蛋白0.7-1G/KG.D。若出现慢性肾功能损害时，则应按照低蛋白饮食(0.65G/KG.D)。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　3、脂肪摄入：肾病综合征患者应限制动物脂肪的摄取量，特别是富含胆固醇的食品如动物内脏，各类蛋黄等，可给予蔬菜豆类饮食和可溶性纤维(燕麦、米糠等)。富含多不饱和脂肪酸量食物，如：鱼油，可以补偿花生四烯酸的消耗，进入细胞膜磷脂，生成前列腺素类物质，降低血脂和尿蛋白，有利于减轻肾小球硬化程度。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　4、微量元素的补充：由尿中丢失的铜、锌、铁等元素，可由正常饮食中补充。合理摄入补益精血的食物，不仅能够补充缺失的维生素和微量元素，而且还对水肿期及恢复期尤为重要，如鱼、鲜果、蔬菜、瓜果类等。其中鲫鱼健脾、黑鱼祛风、鲤鱼行水，均对水肿病有益。但有牙痛、红肿疮痍者或肠道湿滞者均不宜食用鲫鱼或鲤鱼。</p>\n<p>&nbsp;</p>","barId":"1696","topicTypeId":null,"topicThemeId":"1023","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"1947","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"慢性肾衰低钙高磷如何护理","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal; text-align: left;\">　　 &nbsp; 肾衰竭有急性与慢性之分，急性肾衰竭发病突然，可在数天、数周或数月间，肾功能迅速衰竭，并引发其他并发症；慢性肾衰竭是指肾功能慢性衰竭的症状。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\"><strong style=\"color: #333333;\">　　慢性肾衰竭的致病元凶是谁？</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　1、肾脏疾病：是导致尿毒症发生的最直接和最主要的原因。各类肾病，如没有有效控制病情，最终结局都将是发生尿毒症，如肾小球肾炎、肾病综合征、肾结石、尿路梗阻、肾血管疾病、遗传性肾病、肾肿瘤等。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　2、其他伴随疾病：如糖尿病、高血压、红斑狼疮、过敏性紫癜等，随着病程迁延均可发生肾损害，进一步就可恶化为尿毒症。其中，糖尿病肾病和高血压肾病是最常见和最严重的继发性肾病类型，是此类因素导致慢性肾衰竭发生的主要原因。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　3、药物损伤肾脏而导致尿毒症发生：抗生素、部分抗炎药、医用造影剂、抗肿瘤药物以及部分中药等均属于肾毒性药物，容易对肾脏造成损伤，由此引发尿毒症形成。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\"><strong style=\"color: #333333;\">　　慢性肾功能衰竭的症状</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　（1）低钠血症：慢性肾衰患者对钠的调节功能差。由于肾小管吸收钠的功能减退，加之一些其他因素，如常服利尿剂、腹泻、长期进食无盐饮食等，易产生低钠血症。由于钠和水的丢失，引起血容量减少。失钠导致肾功能迅速变坏，故低钠常可使一个原来病情比较稳定的患者出现尿毒症状。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　（2）低钙和高磷：由于患者尿碗排出减少，血磷升高。肾衰退时1，25（OH）2D3生成减少加之厌食等原因，肠道吸收钙减少，血钙降低。高血磷、低血钙刺激甲状旁腺素，可致继发性甲状旁腺功能亢进。肾衰时，高血磷要抑制肾不管细胞合成有活性的维生素D-1，25（OH）2D3而导致钙盐沉着障碍，引起肾性骨病。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　（3）低钾血症和高钾血症：由于厌食、呕吐、腹泻及利尿剂的使用，可致低钾血症。慢性肾功能衰竭的症状有哪些？其临床表现是：四肢无力、腹胀、心律失常和腱反射迟钝等。当尿毒症患者并发感染、酸中毒或长期服保钾利尿剂、输含钾多的库存血、或严重少尿时均可致高钾血症。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　（4）代谢性酸中毒：酸中毒是慢性肾衰患者的常风症状。由于肾小管生成氨、排泌氢离子及重吸收重碳酸盐的能力降低，加之腹泻失碱等因素，几乎所有的尿毒症患者都有轻重不同的代谢性酸中毒。轻度代谢性酸中毒一般无明显症状。当CO2-CP&lt;13mmol/L时，才会出现明显症状，如呼吸深大而长、食欲不振、恶心、呕吐、疲乏、头痛、躁动不安，严重者可发生昏迷。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\"><strong style=\"color: #333333;\">　　慢性肾衰竭的护理有哪些</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\"><strong style=\"color: #333333;\">　　①保持良好的心情</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　不要有过大的心理压力，压力过重会导致酸性物质的沉积，影响代谢的正常进行。适当的调节心情和自身压力可以保持弱碱性体质，从而预防慢性肾衰竭的发生。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\"><strong style=\"color: #333333;\">　　②生活要规律</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　慢性肾衰竭的护理有哪些？生活习惯不规律的人，如彻夜唱卡拉OK、打麻将、夜不归宿等生活无规律，都会加重体质酸化。容易患糖尿病。应当养成良好的生活习惯，从而保持弱碱性体质，使肾病远离自己。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\"><strong style=\"color: #333333;\">　　③控制饮食结构</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　避免酸性物质摄入过量，加剧酸性体质。慢性肾衰竭饮食禁忌？饮食的酸碱平衡对于糖尿病的治疗及并发症的防治是非常重要的一个环节。饮食方面要多吃富含植物有机活性碱的食品，少吃肉类，多吃蔬菜。恰玛古富含植物有机活性碱，能迅速排除体内酸毒，澄清尿液酸毒，从而真正的保护肾脏。不要食用被污染的食物，如被污染的水，农作物，家禽鱼蛋等，要吃一些绿色有机食品，要防止病从口入。远离烟、酒。烟、酒都是典型的酸性食品，毫无节制的抽烟喝酒，极易导致人体的酸化，使得肾病有机可乘。</p>\n<p>&nbsp;</p>","barId":"1696","topicTypeId":null,"topicThemeId":"1022","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":5},{"id":"3680","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胎儿先天肾囊肿","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">女,。肚中胎儿现9个月（34周），于32周时B超查出有2.9*2.4cm囊肿，位于左肾下方，是否为肾囊肿，本地医院无法确诊。怎么办啊</span></p>","barId":"1696","topicTypeId":null,"topicThemeId":"1020","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"3973","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"取结石，治囊肿","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">双肾0.3cm结石，右肾1cm囊肿,今年参军 体检过不了，只希望取出结石，去除囊肿</span></p>","barId":"1696","topicTypeId":null,"topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"1415","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肾结石的临床症状有哪些","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal; text-align: left;\">　　肾结石这个病可能大家觉得不是很严重，只要手术后就会好的，但它带给患者的痛苦是无法表达的，这个疾病在生活当中有着很高的发病率，对于患者的影响也是比较大的，所以这个疾病一定要积极的进行治疗，为了帮助大家及时的发现疾病我们来了解一下肾结石的临床症状有哪些?</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　<strong style=\"color: #333333;\">肾结石的临床表现具体如下：</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\"><strong style=\"color: #333333;\">　　1、剧烈疼痛，苦不堪言</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　结石嵌顿在肾盂输尿管交界部或输尿管内下降时，可出现肾绞痛，为突然发作的阵发性刀割样疼痛，疼痛剧烈难忍，病人辗转不安，疼痛从腰部或侧腹部向下放射至膀胱区，外阴部及大腿内侧，有时有大汗、恶心呕吐。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　<strong style=\"color: #333333;\">2、堵塞尿路，引起急性肾功能障碍</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　当继发急性肾盂肾炎或肾积脓时，可有发热、畏寒、寒颤等全身症状。双侧上尿路结石或肾结石完全梗阻时，可导致无尿。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　<strong style=\"color: #333333;\">3、较小的结石活动范围大，危害周边组织</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　当小结石进入肾盂输尿管连接部或输尿管时，引起输尿管剧烈的蠕动，以促使结石排出，于是出现绞痛和血尿。肾绞痛严重时，面色苍白，全身出冷汗，脉细而速，甚至血压下降，呈虚脱状态，同时伴有恶心、呕吐、腹胀便秘。绞痛发作时，尿量减少，绞痛缓解后，可有多尿现象。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　<strong style=\"color: #333333;\">4、无尿</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　双侧上尿路结石引起双侧完全兴梗阻或独肾上尿路结石完全兴梗阻时，可导致无尿。有时肾结石感染症状为尿路结石的表现。特别是儿童上尿路结石，大多数表现为尿路感染，值得注意。</p>\n<p>&nbsp;</p>","barId":"1696","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"4179","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"遗传是肾盂癌疾病的病因吗","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　肾盂癌疾病的发生严重影响到了人们的身体健康，其实当患上肾癌疾病的时候饱受疾病带来的，因此对于肾癌疾病的病发原因我们在积极的了解的情况下要积极的实施预防措施，那么原发性元疾病的主要病发原因都是有哪些呢!</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\"><strong style=\"color: #333333;\">　　(一)发病原因</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　染料、皮革、橡胶、油漆等工业原料中的芳香伯胺类物质如&beta;-萘胺、联苯胺等是肾盂癌致癌质，色胺酸代谢紊乱、吸烟及长期服用非那西丁类药物者，肾盂癌发病率明显增高。感染或长期结石刺激可引起鳞癌或腺癌。囊性肾盂炎、腺性肾盂炎可发展为肾盂癌。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　<strong style=\"color: #333333;\">　(二)发病机制</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　本病多数为移行细胞癌，少数为鳞癌和腺癌，后二者约占肾盂癌的15%左右，它们的恶性程度远较移行细胞癌为高。临床所见移行细胞癌可在任何被覆有移行上皮的尿路部位先后或同时出现，因此，在诊断及处理上应视为一个整体，不能孤立地对待某一局部的移行细胞癌。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　肾盂癌绝大多数为移行细胞癌，可分为4级。Ⅰ级：乳头状伴正常黏膜;Ⅱ级：乳头状伴少量多形性变和核分裂;Ⅲ级：扁平移行细胞伴显著多形性变和核分裂;Ⅳ级：极度多形性变。因肾盂壁薄，易发生淋巴或血行转移，预后不良。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　鳞状细胞癌约占肾盂癌的15%，病变扁平，质硬，迅速浸润达肾脏周围、肾门及区域淋巴结，确诊时多已转移，预后差。腺癌极为少见。肾盂肿瘤可发生于肾盂的任何部位，有多中心发生的特点，可同时或先后发生输尿管肿瘤或膀胱肿瘤，在乳头状瘤或乳头状癌患者中较为多见，而在平坦的浸润性乳头状癌患者中较为少见。关于肾盂肿瘤的多发现象，目前有4种解释：①淋巴途径扩散;②经黏膜直接扩散;③多中心病灶;④肿瘤细胞脱落种植在输尿管或膀胱黏膜上，继续生长而成。</p>\n<p>&nbsp;</p>","barId":"1696","topicTypeId":null,"topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"1413","isDel":0,"createAt":1486646681882,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"儿童肾病综合征的护理要注意什么","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　肾病综合征是小儿常见肾脏疾病，以大量蛋白尿、低白蛋白血症、高脂血症和水肿为主要临床特点，家属在护理患儿时应注意以下问题。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　一、为患儿制定合理健康的饮食计划</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　家属要为患者制定合理健康的饮食计划。在饮食的控制上，每天要保证0.8～1.0g/kg的蛋白质摄入量，蛋白质的摄入以食用大豆或动物蛋白为宜。每天摄入的热量应大于126kJ/kg。如果水肿严重，饮食要保持较低的盐分，待患儿消除水肿、尿量正常之后再恢复用盐量。同时，要保证各种维生素和微量元素的充足摄入。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　二、预防患者发生感染</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　预防感染对于肾病患儿非常重要，因为患肾病的儿童免疫力低下，容易激发感染，威胁患儿的生命。要加强对口腔、皮肤的护理，每天进行2～3次的苏打水漱口，用甲紫和碘伏等对破损的皮肤进行消毒。在治疗和护理的每一个步骤中，都要坚持无菌操作。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　三、与患儿多沟通</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　家属要按照出院医嘱，加强与孩子的沟通与交流。患儿由于长期患病治疗，容易产生焦虑压抑等心理问题，对于孩子出现的这些负面情绪，家长要及时进行指导，帮助孩子增加对抗病魔的决心和信心。家长要帮助患儿长期地、正确地坚持治疗。家长要帮助孩子进行适当的体育锻炼，保持孩子的体力，增强体质。</p>\n<p>&nbsp;</p>","barId":"1696","topicTypeId":"3","topicThemeId":"1022","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1887,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486646681883,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486646681882,"metaSearch":null,"rn":null},"userAllInfo":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":null,"password":null,"level":0,"nickName":null,"realName":null,"signName":null,"head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":0,"userType":0,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":0,"provinceId":null,"cityId":null,"userLevel":0,"modifyNameCount":0,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"forumUserActiveInfo":{"id":"b1ba5254dfad11e6a61c00163e04584d","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":1705892489293,"updateBy":"b1a5ca4ddfad11e6a61c00163e04584d","updateName":"小海螺","userId":"b1a5ca4ddfad11e6a61c00163e04584d","topicCount":2201,"replayCount":900,"favorteCount":0,"beFavorteCount":0,"creamCount":2,"focusCount":1,"fansCount":4,"integralCount":2357,"foodCouponCount":0,"lastLoginTime":0,"lastLoginIp":null,"downloadCount":0,"uploadCount":0},"newPass":null,"focusBar":null,"counter":null,"forumUserIdentificateDto":null},"theme":{"id":"1022","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"topicTypeId":"3","topicTypeName":"其他","themeName":"家庭护理","barType":"101","schemaName":2,"reward":0},"page":1,"favorties":true,"isSelf":false,"order":"asc"}