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急性肾衰竭时的甲状旁腺激素与血钙水平。特别提及一名发生短暂高钙血症的患者。

Parathyroid hormone and calcium blood levels in acute renal failure. With special reference to one patient developing transient hypercalcemia.

作者信息

Fuss M, Bagon J, Dupont E, Manderlier T, Brauman H, Corvilain J

出版信息

Nephron. 1978;20(4):196-202. doi: 10.1159/000181222.

Abstract

Parathyroid hormone (PTH), creatinine, calcium and phosphate blood levels were repeatedly measured in 5 patients with acute renal failure. 1 patient developed hypercalcemia during the recovery phase of the illness. PTH was elevated in all cases before starting hemodialysis treatment and returned to normal when renal function recovered. Calcium and PTH were inversely correlated in 3 patients including the patient with transient hypercalcemia. These data show that parathyroid function in acute renal failure is closely related to changes in renal function and the hypercalcemia, when occurring, is not necessarily due to parathyroid hyperactivity.

摘要

对5例急性肾衰竭患者反复测量其甲状旁腺激素(PTH)、肌酐、血钙和血磷水平。1例患者在疾病恢复期出现高钙血症。所有病例在开始血液透析治疗前PTH均升高,肾功能恢复时PTH恢复正常。包括出现短暂高钙血症的患者在内,3例患者的血钙与PTH呈负相关。这些数据表明,急性肾衰竭时甲状旁腺功能与肾功能变化密切相关,高钙血症一旦发生,不一定是由于甲状旁腺功能亢进所致。

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