Bunkova M, Kuleva V
Vutr Boles. 1978;17(2):86-9.
The values of serum concentration of alkaline phosphatase and of bone isoenzyme fraction, determined by thermal inactivation of serum were followed up in 42 patients with chronic renal insufficieny, treated with hemodialysis for a long time. The authors found that the elevation of those valuse correlates with the degree of the manifested changes in the bone skeleton. Attention is paid to the fact that the determination of bone and liver isoenzymes of alkaline phosphatase could help the earlier diagnosis of bone changes and infectious hepatitis, both being frequent complications in patients treated with hemodialysis.
对42例长期接受血液透析治疗的慢性肾功能不全患者,通过血清热灭活法测定血清碱性磷酸酶浓度及骨同工酶组分的值,并进行随访。作者发现这些值的升高与骨骼表现出的变化程度相关。值得注意的是,碱性磷酸酶的骨同工酶和肝同工酶的测定有助于早期诊断骨变化和传染性肝炎,这两种情况都是接受血液透析治疗患者的常见并发症。