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酗酒者的骨骼变化。

Bone changes in alcoholics.

作者信息

Pierce R O

出版信息

J Natl Med Assoc. 1979 Dec;71(12):1213-6.

PMID:522187
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2537447/
Abstract

Man has consumed alcohol for its euphoric and sedative effect down through the ages. Attention in the medical literature has been primarily focused on the effects of alcohol on the nervous system and liver. In the past few years, isolated reports have appeared in the medical literature concerning the effects of alcohol on the bony skeleton. The purpose of this paper is to classify these lesions, discuss their pathophysiology, and briefly review their clinical course. The lesions discussed include osteoporosis, hip fractures, aseptic necrosis of the hip, and fat embolism. For the purpose of this discussion these lesions are divided into two groups. Group I includes the battered alcoholic syndrome. Group II includes fat embolism, both acute and chronic, and aseptic necrosis of the hip.

摘要

自古以来,人类就因酒精带来的欣快感和镇静作用而饮用它。医学文献中的关注点主要集中在酒精对神经系统和肝脏的影响上。在过去几年里,医学文献中出现了一些关于酒精对骨骼影响的孤立报道。本文的目的是对这些病变进行分类,讨论其病理生理学,并简要回顾其临床病程。所讨论的病变包括骨质疏松症、髋部骨折、髋部无菌性坏死和脂肪栓塞。为了便于讨论,这些病变分为两组。第一组包括受虐酗酒综合征。第二组包括急性和慢性脂肪栓塞以及髋部无菌性坏死。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93a3/2537447/bf6f5bfaf056/jnma00032-0052-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93a3/2537447/3dcab2bfaba4/jnma00032-0050-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93a3/2537447/677ae27f7384/jnma00032-0052-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93a3/2537447/bf6f5bfaf056/jnma00032-0052-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93a3/2537447/3dcab2bfaba4/jnma00032-0050-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93a3/2537447/3c1bebefc38c/jnma00032-0050-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93a3/2537447/25d5b032781e/jnma00032-0051-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93a3/2537447/bf6f5bfaf056/jnma00032-0052-b.jpg

相似文献

1
Bone changes in alcoholics.酗酒者的骨骼变化。
J Natl Med Assoc. 1979 Dec;71(12):1213-6.
2
[The efficacy of x-ray skeletal diagnosis in chronic alcoholics].[X线骨骼诊断在慢性酒精中毒患者中的疗效]
Radiol Diagn (Berl). 1989;30(3):281-9.
3
Idiopathic aseptic necrosis of the head of the femur in adults.成人特发性股骨头无菌性坏死
Surg Gynecol Obstet. 1966 Nov;123(5):1057-65.
4
[Special forms of aseptic bone necrosis].[无菌性骨坏死的特殊形式]
Radiologe. 1966 Jun;6(6):217-25.
5
Alcohol-related skeletal disorders.酒精相关的骨骼疾病。
Ann N Y Acad Sci. 1975 Apr 25;252:287-91. doi: 10.1111/j.1749-6632.1975.tb19169.x.
6
[Spontaneous necrosis of the femoral head and alcoholism].[股骨头自发性坏死与酗酒]
Med Klin. 1971 Dec 3;66(49):1694-7.
7
Alcohol and bone disease.
Alcohol Alcohol. 1990;25(4):345-52.
8
Metastatic fat necrosis and lytic bone lesions in a patient with painless acute pancreatitis.
Radiology. 1973 Jan;106(1):85-6. doi: 10.1148/106.1.85.
9
Neuroarthropathy associated with chronic alcoholism.与慢性酒精中毒相关的神经关节病。
AJR Am J Roentgenol. 1988 Oct;151(4):743-5. doi: 10.2214/ajr.151.4.743.
10
[Neurogenic osteo-arthropathies due to chronic alcoholism].[慢性酒精中毒所致神经源性骨关节病]
Clin Ortop. 1975;26:263-74.

引用本文的文献

1
The effect of ethanol on bone mineral.乙醇对骨矿物质的影响。
J Natl Med Assoc. 1991 Jun;83(6):505-8.

本文引用的文献

1
Liver lipid as a source of post-traumatic embolic fat.肝脏脂质作为创伤后栓塞性脂肪的来源。
J Surg Res. 1962 Jul;2:283-4. doi: 10.1016/s0022-4804(62)80021-3.
2
CHANGES IN BONE MASS WITH AGE AND ALCOHOLISM.随着年龄增长及酗酒导致的骨量变化。
J Bone Joint Surg Am. 1965 Apr;47:492-9.
3
EFFECTS OF ETHANOL ADMINISTRATION ON URINARY EXCRETION OF MAGNESIUM AND OTHER ELECTROLYTES IN ALCOHOLIC AND NORMAL SUBJECTS.乙醇给药对酗酒者和正常人尿中镁及其他电解质排泄的影响。
J Clin Invest. 1963 Sep;42(9):1471-5. doi: 10.1172/JCI104831.
4
Fatal nontraumatic fat embolism in an alcoholic.一名酗酒者发生致命性非创伤性脂肪栓塞
Med Ann Dist Columbia. 1961 May;30:283-7.
5
Fat embolism in chronic alcoholism; control study on incidence of fat embolism.慢性酒精中毒中的脂肪栓塞;脂肪栓塞发生率的对照研究
AMA Arch Pathol. 1959 Jan;67(1):68-80.
6
The management of tibial fractures in alcoholics and mentally disturbed patients.酗酒者和精神障碍患者胫骨骨折的治疗
J Bone Joint Surg Br. 1974 Nov;56-B(4):730-4. doi: 10.1302/0301-620X.56B4.730.
7
Fat embolism of bone. A roentgenographic and histological investigation, with use of intra-arterial lipiodol, in rabbits.骨脂肪栓塞。对兔使用动脉内碘油进行的X线摄影及组织学研究。
J Bone Joint Surg Am. 1966 Jan;48(1):149-64.
8
Roentgenographic search for avascular necrosis of the head of the femur in alcoholics and normal adults.对酗酒者和正常成年人进行股骨头部缺血性坏死的X线检查。
J Bone Joint Surg Am. 1977 Apr;59(3):391-6.
9
Alcoholism associated ischemic necrosis of the femoral head. Early diagnosis and treatment.酒精中毒相关性股骨头缺血性坏死。早期诊断与治疗。
Clin Orthop Relat Res. 1978 Jan-Feb(130):144-153.