Ulmann A
Nouv Presse Med. 1982 Apr 17;11(18):1405-7.
Calcium calculi are by far the most frequent of urinary stones. In many cases their formation is enhanced by lithogenetic abnormalities, including idiopathic calciuria. The basis of the treatment is to promote diuresis by absorbing for an indefinite period a mineral water containing less than 100 mg/l of calcium. There is no evidence that drugs reducing calciuria (thiazides, phosphorus) or uraturia (allopurinol) are effective, and they should be reserved to cases of rapidly progressive lithiasis. A long-term strategy for the prevention of lithiasis is discussed.
迄今为止，钙结石是最常见的尿路结石。在许多情况下，包括特发性高钙尿症在内的致石异常会促进其形成。治疗的基础是通过长期饮用钙含量低于100毫克/升的矿泉水来促进利尿。没有证据表明减少高钙尿症的药物（噻嗪类、磷）或尿酸尿症的药物（别嘌醇）有效，它们应仅用于快速进展性结石病的病例。本文讨论了预防结石病的长期策略。
