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终末期肾病患者甲状旁腺切除术后持续性低磷血症:3例报告

Persistent hypophosphatemia following parathyroidectomy in end-stage renal disease: report of three patients.

作者信息

Lefavour G S, Brensilver J M, Pierce J C, Cortell S

出版信息

Clin Nephrol. 1980 Jan;13(1):40-3.

PMID:7363514
Abstract

Immediate and persistent hypophosphatemia following subtotal parathyroidectomy, despite discontinuation of phosphate binders, developed in three chronic hemodialysis patients. Although the serum phosphorous level is regularly reduced by parathyroidectomy in such patients, prolonged hypophosphatemia has not previously been reported. This observation supports the concept that parathyroid overactivity in end-stage renal disease is a major determinant of hyperphosphatemia.

摘要

三名慢性血液透析患者在甲状旁腺次全切除术后出现了即时且持续的低磷血症,尽管已停用磷结合剂。虽然在此类患者中甲状旁腺切除术通常会使血清磷水平降低,但此前尚未有长期低磷血症的报道。这一观察结果支持了以下观点,即终末期肾病患者甲状旁腺功能亢进是高磷血症的主要决定因素。

相似文献

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Persistent hypophosphatemia following parathyroidectomy in end-stage renal disease: report of three patients.终末期肾病患者甲状旁腺切除术后持续性低磷血症:3例报告
Clin Nephrol. 1980 Jan;13(1):40-3.
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Parathyroid surgery in chronic renal insufficiency. Subtotal parathyroidectomy versus total parathyroidectomy with autotransplantation to the forearm.慢性肾功能不全患者的甲状旁腺手术。次全甲状旁腺切除术与甲状旁腺全切除加前臂自体移植术的比较
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J Urol Nephrol (Paris). 1976 Apr-May;82(4-5):362-7.
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[Secondary hyperparathyroidism in chronic renal failure. Role of subtotal parathyroidectomy].[慢性肾衰竭中的继发性甲状旁腺功能亢进。次全甲状旁腺切除术的作用]
Minerva Chir. 1991 May 31;46(10):501-6.
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Improvement of anemia after parathyroidectomy in Chinese patients with renal failure undergoing long-term dialysis.长期透析的中国肾衰竭患者甲状旁腺切除术后贫血状况的改善
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Total parathyroidectomy and autotransplantation.甲状旁腺全切术及自体移植术。
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引用本文的文献

1
Long-Term Hypoparathyroidism and Hypophosphatemia in Dialysis Patients.透析患者的长期甲状旁腺功能减退和低磷血症
J Investig Med High Impact Case Rep. 2014 May 6;2(1):2324709614527258. doi: 10.1177/2324709614527258. eCollection 2014 Jan-Mar.
2
Hypophosphataemia after parathyroidectomy in chronic renal failure.慢性肾衰竭患者甲状旁腺切除术后的低磷血症
Br Med J (Clin Res Ed). 1982 Mar 20;284(6319):856-8. doi: 10.1136/bmj.284.6319.856.