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血液透析患者的睾酮治疗

Testosterone therapy in hemodialysis patients.

作者信息

Ball J H, Lowrie E G, Hampers C L, Merrill J P

出版信息

Clin Nephrol. 1975;4(3):91-8.

PMID:1183099
Abstract

30 patients undergoing regular, three times weekly hemodialysis were treated with large doses of intramuscular testosterone with evaluation of hematopoiesis before and after treatment. A control group of 30 patients not using the drug was evaluated in similar fashion. The presence or absence of native kidneys was the most important factor determining hematocrit level and transfusion requirements in these patients, whether treated with testosterone or not. The mean hematocrit was lower and the transfusion requirements were higher in bilaterally nephrectomized patients. A significant increase in hematocrit occurred in testosterone treated nephric patients, but untreated nephric patients also had a significant rise. Important adverse side effects occurred with testosterone. Anephric patients did not increase hematocrit levels with or without testosterone.

摘要

30名接受每周三次常规血液透析的患者接受了大剂量肌肉注射睾酮治疗,并在治疗前后对造血功能进行了评估。以类似方式对30名未使用该药物的患者组成的对照组进行了评估。无论是否接受睾酮治疗,是否有天然肾脏是决定这些患者血细胞比容水平和输血需求的最重要因素。双侧肾切除患者的平均血细胞比容较低,输血需求较高。接受睾酮治疗的有肾患者血细胞比容显著增加,但未治疗的有肾患者也有显著升高。睾酮出现了重要的不良副作用。无肾患者无论是否使用睾酮,血细胞比容水平均未升高。

相似文献

1
Testosterone therapy in hemodialysis patients.血液透析患者的睾酮治疗
Clin Nephrol. 1975;4(3):91-8.
2
Testosterone therapy for anaemia in maintenance dialysis.维持性透析患者贫血的睾酮治疗
Br Med J. 1971 Jul 24;3(5768):212-5. doi: 10.1136/bmj.3.5768.212.
3
Erythropoietin activity in anephric, allotransplanted, unilaterally nephrectomized and intact man.无肾、同种异体移植、单侧肾切除及健康人的促红细胞生成素活性
J Lab Clin Med. 1969 Jan;73(1):121-8.
4
[The influence of testosterone on the anaemia of terminal renal failure (author's transl)].
Dtsch Med Wochenschr. 1973 Nov 9;98(45):2119-22. doi: 10.1055/s-0028-1107205.
5
Fluoxymesterone therapy in anemia of patients on maintenance hemodialysis: comparison between patients with kidneys and anephric patients.
J Dial. 1977;1(4):357-66. doi: 10.3109/08860227709038426.
6
Response of uremic patients to nandrolone decanoate.尿毒症患者对癸酸诺龙的反应。
Arch Intern Med. 1975 Jul;135(7):972-5.
7
Intramuscular iron replenishment and replacement combined with testosterone enanthate in maintenance hemodialysis anemia: a follow-up of up to 8 years on 16 patients.维持性血液透析贫血患者中肌肉注射铁补充剂和替代疗法联合庚酸睾酮的疗效:16例患者长达8年的随访
Clin Nephrol. 1985 Jun;23(6):303-6.
8
"Adequacy" of haemodialysis.血液透析的“充分性”
Proc Eur Dial Transplant Assoc. 1972;9:265-70.
9
The use of testosterone in bilateral nephrectomized dialysis patients.
Trans Am Soc Artif Intern Organs. 1971;17:104-7.
10
Effect of bilateral nephrectomy on transfusion requirements of patients undergoing chronic dialysis.双侧肾切除术对接受慢性透析患者输血需求的影响。
Lancet. 1969 Oct 4;2(7623):705-7. doi: 10.1016/s0140-6736(69)90424-3.

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