Hosking D J, Stone M D, Foote J W
City Hospital, Nottingham.
Eur J Clin Pharmacol. 1990;38(1):37-41. doi: 10.1007/BF00314800.
Some patients treated for the hypercalcaemia of malignancy develop renal tubular resistance to the effects of calcitonin which is independent of concurrent changes in sodium excretion. This type of resistance can be overcome by the addition of corticosteroids. In other patients apparent renal resistance to calcitonin is a consequence of reduced sodium excretion and is unaffected by corticosteroids.
一些接受恶性肿瘤高钙血症治疗的患者会出现肾小管对降钙素作用的抵抗,这种抵抗与钠排泄的同时变化无关。这种类型的抵抗可通过添加皮质类固醇来克服。在其他患者中,明显的肾脏对降钙素的抵抗是钠排泄减少的结果,且不受皮质类固醇影响。