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Renal tubular acidosis, the clinical classification and diagnostic tests
. Similarly, FEK is relatively low. (3) Do not lower the PRA and the PAc to exclude RTAIV type. 3,4,5 is a subtype of West aldosterone resistance to disease. (4) Do not free to exclude acidosis RTA. RTAI because of incomplete type can not acidosis. 5 hydrochloric acid arginine loading test as NH, population and CaCI not ideal, it has recently been advocated by arginine hydrochloride (ArginineHCI) loading test. At 150mmol / static solution of the provision of drip 1O% 2 to 3 hours after leaving feces per hour when UpH O. On behalf of the remote type (including I, IV-type) RTA. 6. In view of the urine test can Na2SO4 furosemide on acid selected row to the limit. Therefore, children with difficult intravenous NazSO4, measured UpH minimum. However, due to complicated to operate, in the pediatric to encounter difficulties in the recent use of furosemide 1mg / I 【g instead of Na2. ~ D4. After the investigation of urine per hour, a total of 4 search help. UpH POll after the business is conducive to the secretion of distal renal H. However, the lack of distal renal tubular carbonic anhydrase, resulting in o and CC. . h slow, medullary collecting duct and removed inMedJ. Jurto1999, Vol27No6 not conducive to the CC. . h diffusion of tension, P0 tubular fluid than 9.31kPa (7Omm} 1g). Hematuria. Partial pressure that is (u-B) P (I]> 2.66 ~ 3.99kPa (20 - 30r ¨ mHg). Oral administration of a BU Ic4g/1.73, or by the baby 39tranot./kg, 5 children .4, omol / k. calculations. until UpH ≥ 78.U ≥ l50Hu ∞ 【few, check blood and urine after the Pc. so difficult for children, it was recommended acetazolamide (Acetamlamide, Diamox) test urine alkalinization instead. oral 15mg / 1,. After the first urine was discarded, leaving an hour later submission of urine, if the 3 UpH> 7.4,[link widoczny dla zalogowanych], to stop the remaining urine. 8. neutral phosphate loading test and speed urine tests similar reason. neutral phosphate means Naznl: ~ 4 and Nal-12 /: '04 acid half and half. But if II is 8:1 ratio. by elemental phosphorous 50nag / (I,[link widoczny dla zalogowanych], g · d ) orally every 8 hours 1, so UpH 6.8, urine phosphate (Up)> 20mmol / L,[link widoczny dla zalogowanych], and then oral Na-I-ICO, 2g/1.73rn- , test methods check Br '(70 ~ and uHn If (U-B) P0> 266 ~ 399kPa (20 ~ 30Im-Hg) np is normal. rate according to type is I-Gan. blood gas analysis, Pk, U,[link widoczny dla zalogowanych], PAC are normal. urinary although alkaline, but after using furosemide Up: q <50 m to BU after the load (U-B) P0. 2 down, neutral phosphate loading test is normal. speculated that defects in children with H pump or pump part number less. If the voltage gradient of Taiwan proper. pump can reflect the normal, the urine can be acidified. Voltage-dependent negative voltage drop small tube cavity. H and K, are subject to restrictions excretion, it can be attributed to I type. who can go Iv type, type H pump leak back normal, but some returned to leak back to the remote H tubular epithelial cells. Sugino letter form the differential diagnosis of stroke is very practical value (Table 3). Table 2RTA type (blood】 distal RTA (I type) secretion (H pump failure), gradient defects (back to Lei H gradient is not so steep) voltage-dependent UJ 'tube lumen negative voltage drop) rate by Gan (IJl not rise fast left) proximal RTA ( TI-type) simple (Hc0 back to reduce the absorption of) complex (Fanc,: xtl syndrome) into I, II-type distal combined tK3 (~ - a waste of (Ill type) hyperkalemia (Iv-type) NH3 generated by-step table drain in the back similar type and voltage-dependent, but the latter high, FEK low, with the former as a rough distinction between different I, II, IV type, l-to 4 testing is enough. But for segments I, IV-type subtype is the first 5-8 and Table 1 is indispensable for testing (1998-03-24 Received 1998-07-23 miserable back)
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