| 维持性血液透析患者合并退缩人综合征5例临床分析 |
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| 引用本文： | 于玲,李寒,王世相,申坤.维持性血液透析患者合并退缩人综合征5例临床分析[J].中国血液净化,2011,10(5):239-241,261. |
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| 作者姓名： | 于玲 李寒 王世相 申坤 |
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| 作者单位： | 首都医科大学附属北京朝阳医院血液净化中心,北京,100020 |
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| 摘 要： | 目的分析维持性血液透析患者并发退缩人综合征的临床特点并对其加强预防、积极治疗。方法选择北京朝阳医院血液净化中心规律血液透析合并退缩人综合征患者5例,收集患者一般资料、临床症状、身高变化、生化指标(血清钙、磷、碱性磷酸酶、甲状旁腺素、血红蛋白和血细胞比容)、骨密度、维生素D3冲击量及时间、红细胞生成素用量。结果 5例患者透析龄均在10年以上;身高缩短均>10cm;且都伴有贫血症状、生活自理能力下降、骨关节疼痛、骨畸形,其中1例患者伴有狮面征;5例患者均有高钙血症、骨质疏松、碱性磷酸酶及全段甲状旁腺激素明显升高,且全段甲状旁腺激素持续>2000pg/ml超过3年,经维生素D3冲击治疗无效。结论退缩人综合征是维持性血液透析患者合并难治性继发性甲状旁腺功能亢进症的一种特殊类型,早期监测并规范治疗继发性甲状旁腺功能亢进,可避免退缩人综合征的发生。
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| 关 键 词： | 血液透析 退缩人综合征 继发性甲状旁腺功能亢进 |
Shrinking man syndrome complicated with maintenance hemodialysis patient:Clinical analysis of 5 cases |
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| YU Ling,LI Han,WANG Shi-xiang,SHEN Shen.Shrinking man syndrome complicated with maintenance hemodialysis patient:Clinical analysis of 5 cases[J].Chinese Journal of Blood Purification,2011,10(5):239-241,261. |
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| Authors: | YU Ling LI Han WANG Shi-xiang SHEN Shen |
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| Institution: | YU Ling,LI Han,WANG Shi-xiang,SHEN Shen. Blood Purification Center,Beijing Chao-Yang Hospital,Capital Medical University,Beijing 100020,China |
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| Abstract: | Objective To analyze the clinical features of shrinking man syndrome in maintenance hemodialysis(MHD) patients,and to discuss the prevention and treatment of the syndrome.Methods We recruited 5 shrinking man syndrome patients undergoing hemodialysis in Blood Purification Center of Beijing Chao-Yang Hospital,Capital Medical University.Parameters including general status,clinical manifestations,height,biochemical examinations(serum total calcium,inorganic phosphate,alkaline phosphatase,intact parathyroid horm... |
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| Keywords: | Hemodialysis Shrinking man syndrome secondary hyperparathyroidism |
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