期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

慢性肾脏病患者甲状旁腺切除术后低钙血症的处理 被引量：7

下载PDF
导出
摘要 继发性甲状旁腺功能亢进（secondary hyperparathyroidism,SHPT）是慢性肾脏病（chronic kidney disease,CKD）发展至中晚期常见的一种严重影响患者生活质量的并发症,发病机制主要是CKD进展导致肾脏产生的1,25（OH）2D3分泌不足,导致低钙、高磷刺激甲状旁腺增生,导致血甲状旁腺激素（parathyroid hormone,PTH）增高,SHPT患者不仅表现为钙磷代谢紊乱、转移性钙化,还会导致骨骼、关节疼痛、骨骼畸形（如退缩人综合征）。
作者 张凌
机构地区 中日友好医院肾内科
出处 《中国中西医结合肾病杂志》 2014年第11期941-943,共3页 Chinese Journal of Integrated Traditional and Western Nephrology
关键词 甲状旁腺切除术 低钙血症 肾脏病患者 PARATHYROID 转移性钙化 钙磷代谢紊乱 甲状旁腺激素 高转运骨病 骨化三醇 骨骼畸形
分类号 R692 [医药卫生—泌尿科学] R653 [医药卫生—外科学]
  • 相关文献

参考文献11

  • 1Walgenbach S, Hommel G, Bernhard G, et al. Prospective obser- vational study of surgical therapy of renal hyperparathyroidism. Chirurg, 1997,68(2) : 147 - 153. 被引量：1
  • 2Chandran PK, Ulahannan TJ, Skiles M. Biochemical changes fol- lowing parathyroidectomy. Int J Artif Organs, 1993,16 (10) : 700 - 703. 被引量：1
  • 3Masayuki N, Emoto A, Nasu N, et al. Calcium supplement neces- sary to correct hypocalcemia after total parathyroideetomy for re-nal osteodystrophy. International Journal of Urology,2000,7 ( 1 ) : 35 - 40. 被引量：1
  • 4Zamboni WA, Folse R. Adenoma weight:A predictor of transient hypoealeemia after parathyroideetomy. Am J Surg, 1986, 152 (6) :611 -615. 被引量：1
  • 5Goldfarb M, Gondek SS, Lim SM, et al. Postoperative hungry bone syndrome in patients with secondary hyperparathyroidism of renal origin. World J Surg,2012,36(6) :1314 - 1319. 被引量：1
  • 6Takagi H. Postoperative management. In : Takagi H, Tominaga Y (eds). Surgery for renal osteodystrophy. Ishiyaku Shuppan, To- kyo, 1993.94 - 97. 被引量：1
  • 7Lekas P, Goldenstein PT, Bargman JM. Myocardial dysfunction and pulmonary edema post parathyroi dectomy: the role of hy- pocalcemia. Adv Petit Dial,2010,26 : 125 - 129. 被引量：1
  • 8Cozzolino M, Gallieni M, Corsi C, et al. Management of calcium refilling post - parathyroidectomy in end - stage renal disease. J Nephrol,2004,17 ( 1 ) : 3 - 8. 被引量：1
  • 9卞维静,张凌,王文博,谢亚平,李文歌.透析患者甲状旁腺切除术后低钙血症的发生及处理[J].中国血液净化,2011,10(5):246-249. 被引量：51
  • 10张建荣,张凌主编..慢性肾脏病继发性甲旁亢[M].北京:人民军医出版社,2010:197.

二级参考文献11

  • 1Kalantar-Zadeh K,Shah A,Duong U,et al.Kidney bone disease and mortality in CKD:revisiting the role of vitamin D,calcimimetics,alkaline phosphatase,and minerals[J].Kidney Int Suppl,2010:S10-21. 被引量：1
  • 2Shih ML,Duh QY,Hsieh CB,et al.Total parathyroidectomy without autotransplantation for secondary hyperparathyroidism[J].World J Surg,2009,33:248-254. 被引量：1
  • 3Viaene L,Evenepoel P,Bammens B,et al.Calcium requirements after parathyroidectomy in patients with refractory secondary hyperparathyroidism[J].Nephron Clin Pract,2008,110:c80-85. 被引量：1
  • 4Stracke S,Keller F,Steinbach G.et al.Long-term outcome after total parathyroidectomy for the management of secondary hyperparathyroidism[J].Nephron C1in Pract,2009,111:c102-109. 被引量：1
  • 5Mittendorf EA,Merlino JI,McHenry CR.Post-parathyroide-tomy hypocalcemia:incidence,risk factors,and management[J].Am Surg,2004,70:114-119. 被引量：1
  • 6Puccini M,Carpi A,Copisti A,et al.Total parathyroidectomy without autotransplantation for the treatment of secondary hyperparathyroidism associated with chronic kidney disease:clinical and laboratory long-term follow-up[J].Biomed Pharmacother,2010,64:359-362. 被引量：1
  • 7Lekas P,Goldenstein PT,Bargman JM Myocardial dysfunction and pulmonary edema post parathyroidectomy:the role of hypocalcemia[J].Adv Perit Dial,2010,26:125-129. 被引量：1
  • 8Nakagawa M,Emoto A,Nasu N,et al.Calcium supplement necessary to correct hypocal cemia after total parathyroidectomy for renal osteodystrophy[J].Int J Urol,2000,7:35-40. 被引量：1
  • 9Torer N,Torun D,Micozkadioglu H,et al.Predictors of early postoperatire hypocalcemia in hemodialysis patients with secondary hyperparathyroidism[J].Transplant Proc,2009,41:3642-3646. 被引量：1
  • 10姚力,张凌,刘鹏,卞维静,花瞻,张建荣,李文歌,谌贻璞.甲状旁腺切除术治疗难治性甲状旁腺功能亢进症89例疗效评价[J].中国血液净化,2009,8(8):431-436. 被引量：128

共引文献50

同被引文献62

  • 1汤兵,宋宗纬,侯大卫,赵庆洪,曹红娣,张桦,闻萍,方丽,熊明霞,叶红,许小飞,张平,王蔚蔚,杨俊伟.62例次继发性甲状旁腺功能亢进症行甲状旁腺切除术的临床分析[J].中国血液净化,2012,11(7):374-378. 被引量：38
  • 2孙鲁英,左力,王梅.不同钙离子浓度透析液对血液透析患者钙平衡及甲状旁腺素的影响[J].中华肾脏病杂志,2004,20(3):210-213. 被引量：51
  • 3王苏容,范亚平.生活质量评价在血液透析患者中的临床应用[J].中国血液净化,2007,6(6):320-323. 被引量：17
  • 4Katja Schlosser, Johannes A Veit, Stean Witte, et al. Com- parison of total parathyroidectomy without autotransp[an- tation and without thyrnectomy versus total parathy- roidectomy with autotransplantation and with thymeetomy for .secondary hyperparathyroidism: TOPAR PILOT-Trial[J]. Trials, 2007, 8: 22. 被引量：1
  • 5Rodriguez M, Lorenzo V. Parathyroid homaone: A uremic toxin[J].Semin Dial, 2009, 22: 363. 被引量：1
  • 6Santos R O, Ohe M N, Carvalho A B, et al. Total parathy- roidectomy with prestemal intramuscular autotrans - planta- tion in renal patients: a prospective study of 66 patients[J]. J Osteopoms, 2012, 20: 631243. 被引量：1
  • 7Goldenstein P T, E1 ias R M, do Carmo LP, et al. Parathy- roidectomy improves survival in patients with severe hyper- parathyroidism: a comparative study[J]. PLoS One, 2013, 8: e68870. 被引量：1
  • 8Mittendorf E A, Merlino J I. McHenryCR. Post - parathy- midectomyhypocalcemia: incidence, riskfactors, and manage- men[J].Amsurg, 2004, 70; 114. 被引量：1
  • 9Chikao Yasunaga, Masahiko Nakarnoto, Kenzo Matsuo, et al. Effects of a Parathvroidectomv on the Immune System and Nutritional Condition in Chronic Dialysis Patients with Secondary Hyperparathyroidism[J]. Am J Surg, 1999, 178: 332. 被引量：1
  • 10Gasparri G, Camandona M, Dei Poll M. Secondary and ter- tiary hyperparathyroidism: causes of recurrent disease after 446 parathyroidectomies[J]. Ann Surg, 2001, 233: 65. 被引量：1

引证文献7

二级引证文献70

中国中西医结合肾病杂志
2014年 第11期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部