Van de Vyver F L, De Broe M E
Clin Nephrol. 1985;24 Suppl 1:S37-57.
Patients with aluminum accumulation show a heterogeneous distribution of the element throughout the body which is different from normals. In chronic renal failure, aluminum has been implicated in dialysis encephalopathy, vitamin D-resistant osteomalacia and microcytic hypochromic anemia. Disparities are observed between aluminum distribution and organ dysfunction. In patients with severe renal failure and aluminum overload, aluminum shows a heterogeneous distribution throughout the brain. The mechanisms of aluminum toxicity remain largely unknown. Desferrioxamine administration results in decreases of tissue aluminum levels and in regression of aluminum-associated pathology.
铝蓄积患者体内铝元素在全身的分布不均,与正常人不同。在慢性肾衰竭中,铝与透析性脑病、维生素D抵抗性骨软化症及小细胞低色素性贫血有关。铝的分布与器官功能障碍之间存在差异。在严重肾衰竭和铝过载患者中,铝在整个大脑中分布不均。铝中毒的机制在很大程度上仍不清楚。给予去铁胺可使组织铝水平降低,并使与铝相关的病理改变消退。