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[口服半乳糖负荷试验在评估慢性肾衰竭患者肝脏清除及代谢功能中的应用]

[Oral galactose loading in characterizing the elimination and metabolizing performance of the liver in chronic renal failure].

作者信息

Otting U, Eggert S, Eggert W, Zoellner K, Buchali K

出版信息

Z Urol Nephrol. 1987 Jun;80(6):341-7.

PMID:3307214
Abstract

For characterising the elimination and metabolisation performance of the liver in chronic renal insufficiency the galactose load test was carried out. 9 children with healthy liver and kidneys, 35 children with chronic renal insufficiency (15 were conservatively treated = group 1, 20 were in the chronic haemodialysis programme = group 2) as well as 5 children after kidney transplantation were examined. In group 1 a normal blood galactose concentration was present. Patients of the 2nd group showed increased concentrations of galactose in the blood which might refer to a decreased redox potential in the liver caused by the uraemic intoxication. In the group of patients who underwent a kidney transplantation in the patients with azathioprine therapy a disturbed use of galactose was present. Children with cyclosporin-A had a normal galactose concentration.

摘要

为了表征慢性肾功能不全患者肝脏的清除和代谢功能,进行了半乳糖负荷试验。对9名肝脏和肾脏健康的儿童、35名慢性肾功能不全儿童(15名接受保守治疗 = 第1组,20名接受慢性血液透析治疗 = 第2组)以及5名肾移植术后儿童进行了检查。第1组血液半乳糖浓度正常。第2组患者血液中半乳糖浓度升高,这可能是由于尿毒症中毒导致肝脏氧化还原电位降低所致。在接受硫唑嘌呤治疗的肾移植患者组中,半乳糖的利用出现紊乱。使用环孢素A的儿童半乳糖浓度正常。

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