Bone injuries due to tetany or convulsions during hemodialysis.
Bone injuries due to tetany or convulsions during hemodialysis.
复制标题
血液透析期间手足抽搐或抽搐造成的骨损伤。
DOI:
10.1097/00003086-197607000-00020
复制
发表时间:
1976
影响因子:
4.2
通讯作者:
A. Rubin
中科院分区:
文献类型:
--
作者:
S. Sakai;D. David;H. Shoji;K. Stenzel;A. Rubin
Two patients with long standing uremia sustained bone injuries due to tetany in one, and convulsions secondary to hemodialysis-induced alkalosis and hypomagnesemia in the other. In the former, there were multiple fractures involving the scapula, clavicles and femoral necks. In the latter, there was a slipped capital femoral epiphysis. Caution should be exercised against tetany or convulsive episodes which may cause bone injuries during hemodiaylsis in severely osteoporotic patients. In patients with progressive renal osteodystrophy, prevention of severe osteopenia by timely kidney transplant or subtotal parathyroidectomy is an important preventative measure.