Plasma renin activity, plasma aldosterone and distal urinary acidification in diabetics with chronic renal failure.

J Grande, J F Macias, J Miralles, J M Tabernero
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Abstract

The renin-angiotensin-aldosterone system and the acidification capacity of the renal tubule were studied in 13 diabetic patients with chronic renal failure. As a whole, the group showed hyporeninaemic hypoaldosteronism (HH). Studied alone, 12 of the 13 patients presented the requirements for HH. This group showed hypercholaemic hyperkalaemic metabolic acidosis with a disturbance in renal acidification which may be classified as Type IV renal tubular acidosis. The results of this group were compared to those of another two groups; one of diabetic patients without chronic renal failure and the other with chronic renal failure (C Cr less than 40ml/min); both were seen to show different behaviour to that of the group affected by the two processes.

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糖尿病合并慢性肾功能衰竭患者血浆肾素活性、血浆醛固酮和远端尿酸化。
本文对13例糖尿病合并慢性肾功能衰竭患者肾素-血管紧张素-醛固酮系统及肾小管酸化能力进行了研究。整体上,该组表现为低肾上腺素血症性低醛固酮增多症(HH)。单独研究,13例患者中有12例符合HH的要求。本组表现为高胆固醇血症、高钾血症代谢性酸中毒,伴肾酸化紊乱,可归类为IV型肾小管酸中毒。将这一组的结果与另外两组的结果进行比较;一组为无慢性肾功能衰竭的糖尿病患者,另一组为慢性肾功能衰竭患者(ccr < 40ml/min);两组都表现出不同于受两个过程影响的组的行为。
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