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钙、铝、镁及消胆胺对空肠回肠分流术患者高草酸尿症的影响。

Effects of calcium, aluminium, magnesium and cholestyramine on hyperoxaluria in patients with jejunoileal bypass.

作者信息

Nordenvall B, Backman L, Larsson L, Tiselius H G

出版信息

Acta Chir Scand. 1983;149(1):93-8.

PMID:6837229
Abstract

The urinary excretion of oxalate, calcium, magnesium and citrate as well as the inhibition of calcium oxalate crystal growth in diluted urine was studied in seven patients with hyperoxaluria following jejunoileal bypass. The study was performed on an outpatient basis before and during daily administration of 38 or 113 mmol calcium, 28 mmol of aluminum, 20 mmol of magnesium or 16 g of cholestyramine. Each substance was administered for seven days with a free interval of at least seven days. The mean urinary oxalate excretion was not reduced with any of these regimens. Administration of 38 mmol of calcium per day resulted in increased oxalate and magnesium excretion. Increased excretion of both calcium and citrate was observed during administration of 113 mmol of calcium per day. Calcium and magnesium excretion was increased with aluminium. An increased magnesium excretion was also observed during administration of magnesium, resulting in a decreased calcium/ magnesium ratio. Cholestyramine resulted in increased oxalate and decreased citrate excretion.

摘要

对7例空肠回肠旁路术后高草酸尿症患者的草酸盐、钙、镁和柠檬酸盐的尿排泄以及稀释尿液中草酸钙晶体生长的抑制情况进行了研究。该研究在门诊进行,于每日给予38或113 mmol钙、28 mmol铝、20 mmol镁或16 g消胆胺之前及期间开展。每种物质给药7天,至少间隔7天。这些方案均未降低平均尿草酸盐排泄量。每日给予38 mmol钙导致草酸盐和镁排泄增加。每日给予113 mmol钙期间,钙和柠檬酸盐排泄均增加。铝使钙和镁排泄增加。给予镁期间也观察到镁排泄增加,导致钙/镁比值降低。消胆胺导致草酸盐排泄增加和柠檬酸盐排泄减少。

相似文献

1
Effects of calcium, aluminium, magnesium and cholestyramine on hyperoxaluria in patients with jejunoileal bypass.钙、铝、镁及消胆胺对空肠回肠分流术患者高草酸尿症的影响。
Acta Chir Scand. 1983;149(1):93-8.
2
Low-oxalate, low-fat dietary regimen in hyperoxaluria following jejunoileal bypass.空肠回肠旁路术后高草酸尿症的低草酸盐、低脂饮食方案
Acta Chir Scand. 1983;149(1):89-91.
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Complex pathogenesis of hyperoxaluria after jejunoileal bypass surgery. Oxalogenic substances in diet contribute to urinary oxalate.空肠回肠旁路手术后高草酸尿症的复杂发病机制。饮食中的草酸生成物质会导致尿草酸增加。
Gastroenterology. 1983 Feb;84(2):293-300.
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Acta Hepatogastroenterol (Stuttg). 1977 Jun;24(3):193-200.
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Urine composition following jejunoileal bypass.空肠回肠分流术后的尿液成分
Eur Urol. 1983;9(1):35-9. doi: 10.1159/000474040.
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Effect of calcium treatment on urinary stone index after intestinal bypass for obesity.
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Oxalate metabolism in renal stone disease with special reference to calcium metabolism and intestinal absorption.肾结石病中的草酸盐代谢,特别涉及钙代谢和肠道吸收。
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Hyperoxaluria associated with intestinal bypass surgery for morbid obesity: occurrence, pathogenesis and approaches to treatment.与病态肥胖肠道旁路手术相关的高草酸尿症:发生率、发病机制及治疗方法
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Calcium treatment of enteric hyperoxaluria after jejunoileal bypass for morbid obesity.病态肥胖患者空肠回肠旁路术后肠源性高草酸尿症的钙治疗
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