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[乙酰水杨酸对风湿病患者尿酸代谢的影响]

[Effect of acetylsalicylic acid on uric acid metabolism in patients with rheumatism].

作者信息

Bakhtiiarov Z A, Mit'kin A F

出版信息

Ter Arkh. 1988;60(4):113-7.

PMID:3394082
Abstract

Concentrations of uric acid (UA) in the blood, saliva, circadian urine and serum xanthinoxidase activity were studied in 150 rheumatic fever patients during acetylsalicylic acid (ASA) therapy. UA concentrations were also studied in the organs (myocardium, mitral cusp, liver and kidneys) of the dead. Low salicylemia in nonreactive rheumatic fever and therapeutic salicylemia in recurrent rheumatic carditis produced a normalizing effect on uric acid metabolism but in limited renal and salivary gland excretory capacity ASA therapy aggravated uric acid metabolic disorder.

摘要

在150例风湿热患者接受乙酰水杨酸(ASA)治疗期间,对其血液、唾液、24小时尿中的尿酸(UA)浓度以及血清黄嘌呤氧化酶活性进行了研究。还对死亡患者的器官(心肌、二尖瓣尖、肝脏和肾脏)中的UA浓度进行了研究。非反应性风湿热患者的低水杨酸盐血症和复发性风湿性心脏炎患者的治疗性水杨酸盐血症对尿酸代谢产生了正常化作用,但由于肾脏和唾液腺排泄能力有限,ASA治疗加重了尿酸代谢紊乱。

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