[慢性肝病中的骨病与钙吸收]

[Osteopathies and calcium absorption in chronic liver diseases].

作者信息

Gossmann H H, Schaumlöffel E, Miller B, Martini G A

出版信息

Z Gastroenterol. 1975 Oct;13(6):594-8.

Abstract

Enteral calcium absorption was determined in 18 patients with non-obstructive liver disease (16 with liver cirrhosis, 2 with chronic hepatitis). There was no significant difference in comparison with healthy persons. Osteoporosis in patients with chronic liver disease probably is not due to impaired calcium absorption but to other complications of liver disease as immobility, muscle atrophy, chronic pancreatitis, alcoholism and malnutrition. Osteomalacia on the other hand, is a complication of long standing obstructive liver disease. In these cases vitamin D treatment is indicated.

摘要

对18例非阻塞性肝病患者（16例肝硬化，2例慢性肝炎）测定了肠钙吸收。与健康人相比无显著差异。慢性肝病患者的骨质疏松症可能并非由于钙吸收受损，而是由于肝病的其他并发症，如活动减少、肌肉萎缩、慢性胰腺炎、酗酒和营养不良。另一方面，骨软化症是长期阻塞性肝病的并发症。在这些病例中，需要进行维生素D治疗。