McCarthy J T, Dayton J M, Fitzpatrick L A, Gamble G L, Gonyea J E, Jenson B M, McLeod R A
Department of Social Services, Mayo Clinic, Rochester, MN 55905, USA.
Adv Ren Replace Ther. 1995 Apr;2(2):148-59. doi: 10.1016/s1073-4449(12)80085-9.
A case is presented in which bone biopsy results helped to resolve not only difficult issues in the clinical management of the patient's renal osteodystrophy but also disruptive psychosocial problems surrounding her clinical course. The outcome was a satisfactory resolution based on rational medical treatment and directed supportive care. The presentation highlights important principles in the procurement, processing, and interpretation of the bone biopsy, while also addressing the importance of accurate diagnosis in facilitating the overall long-term management by the entire renal team.
本文介绍了一个病例,其中骨活检结果不仅有助于解决患者肾性骨营养不良临床管理中的棘手问题,还解决了围绕其临床病程的不良社会心理问题。基于合理的药物治疗和有针对性的支持性护理,结果令人满意。本报告强调了骨活检采集、处理和解读中的重要原则,同时也阐述了准确诊断在促进整个肾脏治疗团队进行全面长期管理方面的重要性。