| 钙与血透患者的甲旁腺功能 |
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| 引用本文： | 徐启河,刘平,姜筠,吴希云,黄颖.钙与血透患者的甲旁腺功能[J].肾脏病与透析肾移植杂志,1993(1). |
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| 作者姓名： | 徐启河 刘平 姜筠 吴希云 黄颖 |
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| 作者单位： | 解放军总医院肾内科，北京医科大学第一医院肾内科，北京医科大学第一医院肾内科，天坛医院检验科，中国药品生物制品检定所激素室 100853，100034，100034 |
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| 摘 要： | 本文监测了18例维持性血透患者的血清总钙(Ca)、校正离子钙(nCa_-~(2+))、全血离子钙(bCa_-~(2+))、血清磷(P)、血清全段甲旁腺激素(I-PTH),并观察口服肾骨胶囊3周及高钙透析4h对以上指标的影响。结果表明:低钙血症是血透患者继发甲旁亢的重要原因,提升血钙可抑制多数患者的甲旁腺功能。纠正低血钙的方法中以口服钙磷结合剂为首选,只有纠正了低钙、高磷血症后甲旁腺功能仍不得控制者可推荐使用活性维生素D治疗。二者对防治高钙血症都具有重要意义。
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| 关 键 词： | 钙 维持性血液透析 钙磷结合剂 继发性甲状旁腺功能亢进 |
Relation between calcium and parathyroid status of hemodialysis patients |
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| Xu Qihe,.Relation between calcium and parathyroid status of hemodialysis patients[J].Chinese Journal of Nephrology, Dialysis & Transplantation,1993(1). |
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| Authors: | Xu Qihe |
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| Abstract: | Serum calcium, ionized calcium, phosphorus, intact parathyroid hormone and whole blood ionized calcium were monitored in 18 maintenance hemodialysis (MHD) patients, and the effects of a 3-week Shengu-capsule treatment and a 4-hour high calcium hemodialysis treatment on the above parameters were observed. Results showed that hypoealcemia is an important etiological factor of secondary, parathyroidism(2-HPT), and that 2-HPT could be ameliorated by elevating serum calcium. Although more dietary calcium, high calcium hemodialysis, vitamin D metabolite and calcium phosphorus binder administration could all be effective in correcting hypocalcemia, calcium phosphorus binders should be the first choice. |
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| Keywords: | calcium secondary parathyroidism calcium phosphorus binder high calcium hemodialysis |
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