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目的:探讨2型糖尿病(T2D)M合并肾脏损害的临床特点,总结亟待改进和注意的环节,为临床诊疗提供借鉴。方法:分析T2DM合并肾脏损害的分类,讨论如何鉴别2型糖尿病肾脏疾病(DKD)与T2DM合并非糖尿病性肾脏疾病(NDRD),以及分析各自的治疗原则。结果:病理改变是鉴别2型DKD与T2DM合并NDRD的可靠指标。结论:应及早行肾活检以明确诊断,以便采取积极相应的治疗措施,从而改善预后。
Objective: To investigate the clinical features of type 2 diabetes mellitus (T2D) M combined with renal damage, summarize the links urgently needed to be improved and pay attention to provide reference for clinical diagnosis and treatment. METHODS: We analyzed the classification of T2DM complicated with kidney damage, discussed how to identify type 2 diabetic patients with kidney disease (DKD) and T2DM with nondiabetic renal disease (NDRD), and analyzed the respective treatment principles. Results: The pathological changes were the reliable indicators for differentiating type 2 DKD from T2DM with NDRD. CONCLUSIONS: Kidney biopsy should be performed as early as possible to confirm the diagnosis so that aggressive treatment can be taken to improve prognosis.