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[单次24小时尿液样本化学分析在复发性草酸钙肾结石中的可疑意义]

[Questionable significance of the chemical analysis of a single 24-hour urine sample in recurrent calcium oxalate nephrolithiasis].

作者信息

Riess C, Hess B, Binswanger U

出版信息

Klin Wochenschr. 1986 May 2;64(9):411-6. doi: 10.1007/BF01727526.

DOI:10.1007/BF01727526
PMID:3713110
Abstract

Chemical findings were obtained from 24 h urine samples of 43 male calcium-oxalate stone-formers on an unrestricted diet. Results were compared with data from 51 age-matched healthy blood donors. No differences were found in the excreted quantities of calcium, oxalic acid, uric acid and inorganic phosphate, nor in the calcium to creatinine ratio or the activity product of calcium and oxalic acid. The only differences were a higher output of magnesium and a higher magnesium to calcium ratio for controls. The extent of these differences, however, does not justify further subdivision of the group of stone-formers. The diagnostic and therapeutic significance of the chemical analysis of one 24 h urine sample is doubtful for this group of patients.

摘要

对43名男性草酸钙结石患者在自由饮食情况下的24小时尿液样本进行了化学分析。将结果与51名年龄匹配的健康献血者的数据进行了比较。在钙、草酸、尿酸和无机磷酸盐的排泄量方面,以及钙与肌酐的比值或钙和草酸的活性产物方面,均未发现差异。唯一的差异是对照组的镁排泄量较高以及镁与钙的比值较高。然而,这些差异的程度并不足以对结石患者群体进行进一步细分。对于这组患者,单次24小时尿液样本化学分析的诊断和治疗意义值得怀疑。

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[Questionable significance of the chemical analysis of a single 24-hour urine sample in recurrent calcium oxalate nephrolithiasis].[单次24小时尿液样本化学分析在复发性草酸钙肾结石中的可疑意义]
Klin Wochenschr. 1986 May 2;64(9):411-6. doi: 10.1007/BF01727526.
2
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引用本文的文献

1
[Peroral calcium administration test with free diet in idiopathic calcium nephrolithiasis--possibilities and limits].
Klin Wochenschr. 1986 Oct 15;64(20):1013-20. doi: 10.1007/BF01757208.

本文引用的文献

1
FACTORS INFLUENCING THE URINARY EXCRETION OF CALCIUM. I. IN NORMAL PERSONS.影响尿钙排泄的因素。I. 正常人。
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Magnesium metabolism in renal stone disease.肾结石病中的镁代谢
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Effect of calcium restriction on renal excretion of oxalate and the probability of stones in the various pathophysiological groups with calcium stones.钙限制对草酸盐肾排泄及不同病理生理组钙结石患者结石形成概率的影响。
J Urol. 1983 Aug;130(2):218-23. doi: 10.1016/s0022-5347(17)51073-3.
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Calcium oxalate urinary calculi: clinical and chemical aspects.
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The measurement and the meaning of urinary calcium.尿钙的测量及意义
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10
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