Study of parathyroid function in man by EDTA infusion.

Study of parathyroid function in man by EDTA infusion.
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通过 EDTA 输注研究人类甲状旁腺功能。

DOI:
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发表时间:
1969
影响因子:
5.8
通讯作者:
A. Parfitt
A. Parfitt
中科院分区:
医学2区
文献类型:
--
作者:
A. Parfitt

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在2名正常人、4名假性甲状旁腺功能减退症患者和15名接受颈部手术的患者(11名随后发生暂时性低钙血症,4名未发生)中研究了对Na 3 EDTA输注2小时的反应。为了建立非任意的解释标准,这21例病例和129例其他病例报告,根据他们在测试前的状态分为3组:i)64例正常人,ii)57例既往无甲状旁腺功能障碍证据(除甲状腺功能亢进治疗外),iii)29例既往有甲状旁腺功能障碍证据。校正至输注前水平10.0 mg/100 ml的未螯合血浆钙平均值显示,输注结束(时间0)后10小时(C10)组i和ii之间以及输注结束后22小时(C22)组ii和iii之间存在显著(p<0.001)差异。根据这些结果,定义了3个反应等级,并根据该等级对本研究中的21例病例进行了重新分类:0级(正常)-C22和C10均≥9.5 mg/100 ml(5/21例),g...
ABSTRACT The response to a 2-hr infusion of Na3 EDTA was studied in 2 normals, 4 patients with pseudohypoparathyroidism and 15 patients who had undergone neck surgery, 11 with subsequent temporary hypocalcemia and 4 without. To establish non-arbitrary criteria of interpretation, these 21 cases and 129 others reported, were divided into 3 groups according to their status before the test: i) 64 normals, ii) 57 without prior evidence of parathyroid dysfunction other than treatment for hyperthyroidism, and iii) 29 with prior evidence of parathyroid dysfunction. The mean values of unchelated plasma calcium corrected to a preinfusion level of 10.0 mg/100 ml showed significant (p<0.001) differences between groups i and ii at 10 hr (C10) and between groups ii and iii at 22 hr (C22) after the end of the infusion (Time 0). Based on these results, 3 grades of response were defined, according to which the 21 cases in the present study were reclassified: grade 0 (normal)—C22 and C10 both ≥9.5 mg/100 ml (5/21 cases), g...