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急性肾衰竭后持续性高钙血症。

Prolonged hypercalcemia following acute renal failure.

作者信息

Miach P J, Dawborn J K, Douglas M C, Jerums G, Xipell J M

出版信息

Clin Nephrol. 1975 Jul;4(1):32-6.

PMID:1157348
Abstract

A case is reported of a twenty-one year old man who developed severe hypercalcemia late in the diuretic phase of acute reversible renal failure secondary to severe trauma. Hypercalcemia persisted for approximately five months. Serum immunoreactive parathyroid hormone levels were undetectable and sub-total parathyroidectomy had no appreciable effect on the serum calcium. The most likely source of this patient's hypercalcemia was resorption of calcium from metastatic deposits in soft tissue and possibly from bone. Failure to incorporate calcium into bone during the period of immobilization may explain the prolonged hypercalcemia.

摘要

报告了一例21岁男性病例,该患者在因严重创伤导致的急性可逆性肾衰竭的利尿期后期出现严重高钙血症。高钙血症持续了约五个月。血清免疫反应性甲状旁腺激素水平检测不到,甲状旁腺次全切除术对血清钙没有明显影响。该患者高钙血症最可能的来源是软组织转移性沉积物中的钙吸收,可能还有骨钙吸收。在固定期间未能将钙纳入骨骼可能解释了高钙血症的持续时间延长。

相似文献

1
Prolonged hypercalcemia following acute renal failure.急性肾衰竭后持续性高钙血症。
Clin Nephrol. 1975 Jul;4(1):32-6.
2
Parathyroid hormone and 25-hydroxycholecalciferol levels in hypercalcemia of acute renal failure.急性肾衰竭高钙血症时甲状旁腺激素与25-羟胆钙化醇水平
Arch Intern Med. 1980 Mar;140(3):410-1.
3
Resorption of soft tissue calcification: a possible mechanism of hypercalcemia.
Miner Electrolyte Metab. 1986;12(2):98-102.
4
Calcium metabolism in acute renal failure due to rhabdomyolysis.横纹肌溶解所致急性肾衰竭中的钙代谢
Clin Nephrol. 1993 Jan;39(1):22-7.
5
Hypercalcemia in association with acute renal failure and rhabdomyolysis. Case report and literature review.高钙血症伴急性肾衰竭和横纹肌溶解症。病例报告及文献综述。
Miner Electrolyte Metab. 1993;19(1):1-16.
6
[Toxic hypercalcemia and reversible soft tissue calcification in the polyuric phase after acute kidney failure].
Dtsch Med Wochenschr. 1969 Oct 17;94(42):2155-6 passim. doi: 10.1055/s-0028-1110407.
7
Hypercalcemia during the polyuric stage of acute renal failure.急性肾衰竭多尿期的高钙血症。
Isr J Med Sci. 1976 Nov;12(11):1316-9.
8
Hypercalcemia, hypertension and acute renal insufficiency in an immobilized adolescent.
Child Nephrol Urol. 1991;11(4):215-9.
9
[Immobilisation hypercalcaemia. 1 case (author's transl)].
Nouv Presse Med. 1978 Feb 11;7(6):453-5.
10
Parathyroid adenoma causing persistent hypercalcaemia after rhabdomyolysis-induced acute renal failure.横纹肌溶解症所致急性肾衰竭后引发持续性高钙血症的甲状旁腺腺瘤
Nephrol Dial Transplant. 1986;1(1):50-2.

引用本文的文献

1
Rhabdomyolysis and myoglobinuria associated with violent exercise and alcohol abuse: report of two cases.与剧烈运动和酒精滥用相关的横纹肌溶解症和肌红蛋白尿:两例报告。
Int Urol Nephrol. 1991;23(5):517-25. doi: 10.1007/BF02583998.