Mushmov D, Milkov V, Kiriakov Z, Zakharieva B
Vutr Boles. 1986;25(3):59-62.
It has been stressed that the values of radioimmunologically determined PTH in patients on chronic dialysis treatment are considerably high and the duration of dialysis treatment has no marked effect on them. Relatively good correlation dependence between the serum levels of calcium and PTH is established only in the presence of hypocalcemia. In all other cases the correlation dependence between PTH and calcium as well as that with phosphorus and alkaline phosphatase is negligible so that their serum values cannot be used to judge the level of PTH. The dynamic follow up of the PTH values is emphasized to be performed with one and the same kit, hence avoiding the methodical errors.
有人强调,接受慢性透析治疗的患者经放射免疫法测定的甲状旁腺激素(PTH)值相当高,且透析治疗的时长对这些值没有显著影响。仅在存在低钙血症的情况下,才会建立起血清钙水平与PTH之间相对良好的相关性。在所有其他情况下,PTH与钙之间以及与磷和碱性磷酸酶之间的相关性可忽略不计,因此它们的血清值不能用于判断PTH的水平。强调要用同一试剂盒对PTH值进行动态跟踪,从而避免方法学误差。