Renal Osteodystrophy in Patients Maintained on CAPD for More than Three Years

Renal Osteodystrophy in Patients Maintained on CAPD for More than Three Years
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维持 CAPD 三年以上的患者出现肾性骨营养不良

DOI:
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发表时间:
1983
期刊:
影响因子:
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通讯作者:
D. Oreopoulos
D. Oreopoulos
中科院分区:
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文献类型:
--
作者:
G. Digenis;R. Khanna;A. Pierratos;H. E. Meema;S. Rabinovich;J. Petit;D. Oreopoulos

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短期使用CAPD的肾性骨营养不良患者的研究显示出相互矛盾的结果。本研究报告27例接受CAPD治疗3年以上的肾性骨营养不良患者的情况。10名男性和17名女性平均年龄49.5岁,接受CAPD治疗的平均时间为45个月。透析液钙含量为6 mg%。所有患者的口服膳食钙摄入量均较低(=500 mg/d)。AI(OH)3‘Vit.D和/或1,25(OH)2D3用于将血钙和磷维持在正常水平。根据治疗开始时的放射学表现将患者分为两组。A组(10例)为无骨膜下吸收(SPR)者,B组(17例)为CAPD开始时有SPR者。A组8例SPR分级正常,2例进展。B组有14例SPR无变化或增加,其余3例有改善。
Studies of renal osteodystrophy in patients maintained on CAPD for short periods have shown conflicting results. The present study reports on the status of renal osteodystrophy in 27 patients maintained on CAPD for over three years. Ten men and 17 women with a mean age of 49.5 years were on CAPD for a mean of 45 months. Dialysate calcium was 6 mg%. Oral dietary calcium intake for all the patients was low (= 500 mg/day). AI(OH)3’ Vit. D and/or 1,25(OH)2D3 were prescribed to maintain serum calcium and phosphorus at normal levels. Patients were divided into two groups according to the radiological findings at the beginning of treatment. Group A (10 patients) included those who had no subperiosteal resorption (SPR) and Group B (17 patients) those with SPR at the initiation of CAPD. In Group A, SPR grade remained normal in eight patients and progressed in two. In Group B, SPR remained unchanged or increased in 14 while it improved in the remaining three.
DOI: --
发表时间: 1982
期刊: The Journal of laboratory and clinical medicine
影响因子: --
作者:
Maloney,NA;Ott,SM;Alfrey,AC;Miller,NL;Coburn,JW;Sherrard,DJ
通讯作者: Sherrard,DJ