FIELD: clinical medicine, laboratory diagnostics.
SUBSTANCE: one should carry out complex laboratory survey including daily urinary sampling by Zimnitsky and blood sampling for analysis just after finishing sampling the last urinary portion. In every urinary portion one should detect pH, protein and relative density, in total urinary volume it is necessary to detect concentration and quantity of uric acid, creatinine and daily proteinuria, calculate clearances of uric acid and creatinine and fractional clearance of uric acid. On detecting purine exchange disorders including high concentration of urinary uric acid at low daily diuresis one should recommend to widen drinking mode; at altering urinary reaction towards acidic side one should prescribe alkalizing preparations; in case of pronounced purine exchange disorders and severe accompanied pathology one should carry out extracorporal therapy. The innovation enables to considerably improve the quality of diagnostics and match the most optimal schemes of therapy.
EFFECT: higher efficiency of therapy.
5 cl, 3 dwg, 5 ex, 20 tbl
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Authors
Dates
2006-03-27—Published
2003-06-05—Filed