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[慢性血液透析方案下慢性肾功能不全患者骨骼的X线表现]

[X-ray findings in bones of patients with chronic renal insufficiency under chronic hemodialysis program].

作者信息

Raue I, Lieschke H J, Börner P

出版信息

Z Gesamte Inn Med. 1976 May 15;31(10):334-6.

PMID:960855
Abstract

In the chronic dialysis program, taking into consideration the duration of the dialysis, we sought in 25 patients (average age 34 years) for the radiological signs of the uraemic osteopathy, of the ectosteal calcification and the vascular calcification of the type Mönkeberg. In our patients a radiologically visible affection was to be proved at a duration of the dialysis of more than 3 months. Size and kind of the alterations depended on the age of the patients. In patients younger than 40 years we established an accumulation of isolated soft tissue or osseous processes, in patients older than 40 years the combination of multilocular osseous changes with calcification of the soft tissue or vascular calcium was of interest. Calcifications of the vessels of type Mönkeberg we could not find in patients younger than 40 years also at a duration of the dialysis of more than 1 year. This work shall be starting point of further observations on patients with chronic renal insufficiency during the course of dialysis, especially after changing of the calcium content of the dialysis solution.

摘要

在慢性透析项目中,考虑到透析时长,我们在25名患者(平均年龄34岁)中寻找尿毒症骨病、骨膜钙化以及蒙克贝格型血管钙化的影像学征象。在我们的患者中,透析时长超过3个月时才能证实存在影像学可见的病变。病变的大小和类型取决于患者的年龄。在40岁以下的患者中,我们发现有孤立的软组织或骨质病变积聚;在40岁以上的患者中,多房性骨质改变与软组织钙化或血管钙化的组合情况值得关注。在透析时长超过1年的40岁以下患者中,我们未发现蒙克贝格型血管钙化。这项工作应作为对慢性肾功能不全患者在透析过程中,尤其是在改变透析液钙含量后进行进一步观察的起点。

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