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尸检时组织锌含量——与利尿剂用药的关系

Tissue zinc at autopsy--relation to medication with diuretics.

作者信息

Wester P O

出版信息

Acta Med Scand. 1980;208(4):269-71. doi: 10.1111/j.0954-6820.1980.tb01192.x.

Abstract

Diuretic treatment has been shown to cause a substantial increase in the urinary output of zinc. However, the serum zinc levels remain normal or even raised. In the present study, tissue zinc was studied in liver, kidney and skeletal muscle tissue from 147 consecutive autopsies. In 90 of the cases heart muscle and aortic tissue were also studied. The zinc values were correlated to previous treatment with diuretics. A lower liver zinc level was observed in the group of patients who had been on diuretic treatment for more than 6 months compared to the group without treatment, the difference being highly significant. The skeletal muscle zinc was also low in the patients who had been on diuretic treatment. With regard to the metabolic functions of zinc, the tissue depletion of this element after diuretic treatment may be of clinical importance.

摘要

利尿治疗已被证明会导致锌的尿量大幅增加。然而,血清锌水平仍保持正常甚至升高。在本研究中,对147例连续尸检的肝脏、肾脏和骨骼肌组织中的组织锌进行了研究。在其中90例病例中,还对心肌和主动脉组织进行了研究。锌值与先前的利尿治疗相关。与未接受治疗的组相比,接受利尿治疗超过6个月的患者组肝脏锌水平较低,差异非常显著。接受利尿治疗的患者骨骼肌锌含量也较低。关于锌的代谢功能,利尿治疗后该元素的组织消耗可能具有临床重要性。

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