Fildes R D, Springate J E, Jewett T, O'Shea M M, Feld L G
Department of Pediatrics, School of Medicine, State University of New York, Buffalo.
J Pediatr Surg. 1989 Nov;24(11):1195-7. doi: 10.1016/s0022-3468(89)80119-8.
We report a case of a calcium phosphate bezoar resulting in colonic intussusception in a boy with chronic renal failure who received calcium carbonate to control hyperphosphatemia. Because of concerns about aluminum-related disease in patients receiving aluminum hydroxide phosphate binders, calcium carbonate is being used more frequently to manage phosphate retention in renal failure. The development of bezoars may complicate this new form of therapy.
我们报告了一例患有慢性肾衰竭的男孩,因服用碳酸钙控制高磷血症而导致磷酸钙粪石并引发结肠套叠的病例。由于担心接受氢氧化铝磷酸盐结合剂治疗的患者出现铝相关疾病,碳酸钙正越来越多地用于治疗肾衰竭患者的磷潴留。粪石的形成可能会使这种新的治疗方式复杂化。