[Electrolyte excretion in patients with a history of hemorrhagic fever with renal syndrome].
Renal transportation of sodium and potassium was studied in 85 patients who sustained hemorrhagic fever complicated with renal syndrome (HFRS). The examinees were given routine diet No. 7 recommended by Pevzner. The conclusions were made on the analysis of circadian excretion and clearance of electrolytes studied and the levels of their water-load-induced tubular transportation: distal and proximal reabsorption and distal excretion of sodium, the correlation between potassium secretion and reabsorption in the distal part of the nephron. It was revealed that within the first year after the disease onset, 37.5 per cent of patients had increased levels of sodium excretion as part of the salt-loss syndrome developed due to decreased sodium reabsorption in the distal part of the nephron. Later the status was featured by moderately pronounced disorders of distal sodium reabsorption in 6.25 per cent of the patients only, mostly in those with HFRS-induced pyelonephritis. Increased excretion of potassium noted in the first months after HFRS only was the result of an increase in sodium excretion. The aforementioned disorders could be easily compensated by a routine diet and therefore a decrease in the levels of sodium or potassium avoided.
Shapiro
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IA
D001692:Biological Transport; D002908:Chronic Disease; D006476:Orthohantavirus; D006480:Hemorrhagic Fever with Renal Syndrome / Q000150:complications / Q000178:diet therapy / Q000652:urine*; D006801:Humans; D007010:Hyponatremia / Q000209:etiology; D007668:Kidney / Q000378:metabolism; D009318:Natriuresis; D011188:Potassium / Q000652:urine*; D012964:Sodium / Q000652:urine*; D013577:Syndrome
D012964:Sodium; D011188:Potassium
Ekskretsiia élektrolitov u bol'nykh, perenesshikh gemorragicheskuiu likhoradku s pochechnym sindromom.