%0 Journal Article %T 朱砂莲中毒致急性肾功能衰竭二例 %A 刘晓霞 %A 田茂露 %A 胡章学 %A 舒英 %A 黄思念 %A 张秀辉 %J 华西医学 %P 18-20 %D 2012 %R CNKI:51-1356/R.20120115.1541.005 %X 目的 分析朱砂莲中毒导致急性肾功能衰竭临床表现、肾脏病理学及相关文献复习。方法 2007年3月-9月收治朱砂莲中毒急性肾功能衰竭2例,分析临床表现及肾脏病理损害。结果 朱砂莲急性中毒易致急性肾功能衰竭,危及生命;其主要损害肾小管间质,表现为急性肾小管重度损伤,无炎性细胞浸润,而肾小球几乎无病变。结论 朱砂莲为我国常使用中药,主要成分为马兜铃酸,易致马兜铃酸肾病,须提高对该病认识,规范使用中草药,避免药物性所致肾损害。Objective Toanalyzetheclinicalandpathologicalmanifestationsofkidneyinpatientswithciliatenerveknotweedroot-inducedacuterenalfailure.Methods Twopatientswhowereadmittedintoourhospitalforacuterenalfailurecausedbyover-doseciliatenerveknotweedrootfromMarchtoSeptemberin2007wereincludedinthisstudy.Weanalyzedtheclinicalandpathologicalmanifestationsoftheirkidneys.Results Over-doseciliatenerveknotweedrootcouldinduceacuterenalfailure,eventhreatenlife.Thepathologyofkidneyischaracterizedbyseveretubularinjury,ratherthanglomerulusdamage,withoutcellinfiltration.Conclusions Ciliatenerveknotweedrootisoneofthefrequently-usedtraditionalChinesemedicinesinourcountry,whichcaneasilyresultinaristolochincacidnephropathy.Weshouldrecognizetheimportanceofthisdiseaseandavoidusingnephrotoxicdrugs. %K 朱砂莲 %K 马兜铃酸肾病 %K 急性肾功能衰竭 %U http://www.hxyxqk.com.cn/oa/DArticle.aspx?type=view&id=201201005