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[智障儿童的高脂蛋白血症]

[Hyperlipoproteinemia in mentally retarded children].

作者信息

Höllge J, Vymlátil J, Kostiuk P, Böswart J

机构信息

Klinika dĕtského a dorostového lékarství 1. LF UK Praha.

出版信息

Cesk Psychiatr. 1993 Aug;89(4):221-6.

PMID:8403035
Abstract

Screening revealed a significantly higher incidence of hyperlipoproteinaemia in mentally retarded children in an Institute for Social Welfare than in the healthy child population (P 1%). In the aetiology participate most markedly secondary influences ensuing in particular from complications of the basic diagnosis of oligophrenia. It is mainly a question of the action of antiepileptics, neuroleptics, the influence of viral hepatic infections and other endogenous and exogenous factors. Early diagnosis of hyperlipoproteinaemia is possible so far only by biochemical methods. It is essential for genetic counselling, for prevention of deterioration as regards mental retardation, restriction of pharmacotherapy and later for a reduced risk of development of cardiovascular disease.

摘要

筛查显示,一家社会福利机构中智力迟钝儿童的高脂蛋白血症发病率显著高于健康儿童群体(P<0.01)。在病因学方面,最明显的是继发影响,尤其是由智力发育迟缓这一基本诊断的并发症引起的。主要涉及抗癫痫药、抗精神病药的作用、病毒性肝脏感染的影响以及其他内源性和外源性因素。迄今为止,高脂蛋白血症的早期诊断仅通过生化方法才有可能。这对于遗传咨询、预防智力发育迟缓恶化、限制药物治疗以及降低后期心血管疾病发生风险至关重要。

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