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锂治疗期间“原发性”甲状旁腺功能亢进的发生:纵向研究

Development of 'primary' hyperparathyroidism during lithium therapy: longitudinal study.

作者信息

Christiansen C, Baastrup P C, Transbøl I

出版信息

Neuropsychobiology. 1980;6(5):280-3. doi: 10.1159/000117770.

DOI:10.1159/000117770
PMID:7413057
Abstract

The bone mineral content and the serum levels of immunoreactive parathyroid hormone (iPTH), and protein-corrected calcium and magnesium were measured in 13 manic depressive patients before and during treatment with lithium. Initially all four parameters were normal. During the treatment the bone mineral decreased and the serum levels of iPTH, calcium, and magnesium increased. Although altered metabolism of parathyroid hormone cannot be ruled out, these data, together with other observations, suggest that a mild 'primary' hyperparathyroidism sets in quite early after institution of lithium therapy.

摘要

在13名躁郁症患者接受锂治疗之前及治疗期间,对其骨矿物质含量、免疫反应性甲状旁腺激素(iPTH)血清水平、蛋白校正钙和镁进行了测量。最初,所有这四个参数均正常。治疗期间,骨矿物质减少,iPTH、钙和镁的血清水平升高。虽然不能排除甲状旁腺激素代谢改变的可能性,但这些数据以及其他观察结果表明,锂治疗开始后不久就会出现轻度“原发性”甲状旁腺功能亢进。

相似文献

1
Development of 'primary' hyperparathyroidism during lithium therapy: longitudinal study.锂治疗期间“原发性”甲状旁腺功能亢进的发生:纵向研究
Neuropsychobiology. 1980;6(5):280-3. doi: 10.1159/000117770.
2
Endocrine effects of lithium: II. 'Primary' hyperparathyroidism.锂的内分泌效应:II. “原发性”甲状旁腺功能亢进。
Acta Endocrinol (Copenh). 1978 Jul;88(3):528-34. doi: 10.1530/acta.0.0880528.
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Lithium's effect of parathyroid hormone.
Am J Psychiatry. 1981 Apr;138(4):489-92. doi: 10.1176/ajp.138.4.489.
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[Hyperparathyroidism with lithium].[锂所致甲状旁腺功能亢进]
Encephale. 1994 May-Jun;20(3):339-49.
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Long-term lithium carbonate therapy causes hyperparathyroidism.长期碳酸锂治疗会导致甲状旁腺功能亢进。
Arch Gen Psychiatry. 1982 Sep;39(9):1074-7. doi: 10.1001/archpsyc.1982.04290090060012.
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Acute hyperparathyroidism in a patient after initiation of lithium therapy.锂治疗开始后患者出现急性甲状旁腺功能亢进。
Am J Psychiatry. 1982 Mar;139(3):362-3. doi: 10.1176/ajp.139.3.362.
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Lithium, hypercalcemia, and hyperparathyroidism.锂、高钙血症和甲状旁腺功能亢进。
Biol Psychiatry. 1981 Jun;16(6):593-5.
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[Important hypercalcaemia due to hyperparathyroidism induced by lithium].[锂诱导的甲状旁腺功能亢进所致的重要高钙血症]
Ann Fr Anesth Reanim. 2005 Mar;24(3):270-3. doi: 10.1016/j.annfar.2004.12.008. Epub 2005 Jan 21.
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Lithium, hypercalcemia, hypermagnesemia, and hyperparathyroidism.锂、高钙血症、高镁血症和甲状旁腺功能亢进。
Lancet. 1976 Oct 30;2(7992):969. doi: 10.1016/s0140-6736(76)90941-7.
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Effect of lithium on serum calcium level and parathyroid function in manic-depressive patients.
Endocr J. 1995 Oct;42(5):691-5. doi: 10.1507/endocrj.42.691.

引用本文的文献

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Lithium use and risk of fracture: a systematic review and meta-analysis of observational studies.锂的使用与骨折风险:观察性研究的系统评价和荟萃分析。
Osteoporos Int. 2019 Feb;30(2):257-266. doi: 10.1007/s00198-018-4745-9. Epub 2018 Oct 29.
2
Effects of maintenance lithium treatment on serum parathyroid hormone and calcium levels: a retrospective longitudinal naturalistic study.维持性锂治疗对血清甲状旁腺激素和钙水平的影响:一项回顾性纵向自然主义研究。
Neuropsychiatr Dis Treat. 2015 Jul 20;11:1785-91. doi: 10.2147/NDT.S86103. eCollection 2015.
3
Emerging therapeutic opportunities for skeletal restoration.
骨骼修复的新兴治疗机会。
Nat Rev Drug Discov. 2011 Feb;10(2):141-56. doi: 10.1038/nrd3299.
4
Lithium therapy and hyperparathyroidism: an evidence-based assessment.锂治疗与甲状旁腺功能亢进症:基于证据的评估。
World J Surg. 2009 Nov;33(11):2314-23. doi: 10.1007/s00268-009-9942-4.
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Effect of lithium maintenance therapy on thyroid and parathyroid function.锂盐维持治疗对甲状腺及甲状旁腺功能的影响。
J Psychiatry Neurosci. 1999 May;24(3):227-33.
6
Lithium intoxication: a coordinated treatment approach.锂中毒:一种协同治疗方法。
J Gen Intern Med. 1993 Jan;8(1):33-40. doi: 10.1007/BF02600293.