期刊文献+

尿毒症继发性甲状旁腺功能亢进症甲状旁腺切除术的护理 被引量:2

原文传递
导出
摘要 慢性肾脏病患者在其病程中不同程度地并发继发性甲状旁腺功能亢进(SHPT),并且SHPT随肾衰竭进展进行性加重。SHPT发病机制复杂,至今尚未明确。由于尿毒症患者钙、磷、PTH、1,25(OH)2D3等代谢的复杂性,使得治疗SHPT的方法受到极大限制。对于药物治疗效果不佳的甲旁亢患者,甲状旁腺切除术效果确切,日益为临床医生采用。现将甲状旁腺切除术的护理方法报告如下。
作者 王鸿雁
出处 《中国基层医药》 CAS 2013年第12期1913-1914,共2页 Chinese Journal of Primary Medicine and Pharmacy
基金 国家自然科学基金面上项目资助[81072182]
  • 相关文献

参考文献17

  • 1Tentori F, Blayney M J, Albert JM, et al. Mortality risk for dialysis patients with different levels of serum calcium, phosphorus, and PTH, The Dialysis Outcomes and Practice Patterns Study (DOPPS) ]. Am J Kidney Dis,2008,52(3) :519-530.
  • 2Smith DH, Johnson ES, Thorp ML, et al. Hyperparathymidism in chronic kidney diseases:a retrospective cohort study of costs and outcomes. J Bone Miner Metab ,2009,27 ( 3 ) :287-294.
  • 3史春红,孙瑶.骨化三醇冲击联合血液灌流对维持性血液透析继发甲状旁腺功能亢进的临床疗效观察[J].中国医师进修杂志,2012,35(6):71-72. 被引量:9
  • 4Slinin Y, Foley RN, Collins AJ. Clinical epidemiology of parathy- roidectomy in hemodialysis patients:the USRDS waves 1,3 and 4 study. Hemodial Int,2007,11 ( 1 ) :62-71.
  • 5Sharma J, Raggi P, Kutner N, et al. Improved long-term survival of dialysis patients after near-total parathyroidectomy. J Am Coil Surg,2012,214(4) :400-407.
  • 6Floege J, Kim J, Ireland E, et al. Serum iPTH, calcium and phos- phate, and the risk of mortality in European haemodialysis popula- tion. Nephrol Dial Transplant,2011,26(6) :1948-1955.
  • 7Kestenbaum B, Andress DL, Schwartz SM, et al. Survival following parathyroidectomy among United States dialysis patients. Kidney Int ,2004,66 ( 5 ) :2010-2016.
  • 8Yan H, Sharma J, Weber C J, et al, Elevated parathyroid hormone predicts mortality in dialysis patients undergoing value surgery. Surgery,2011,150(6) :1095-1101.
  • 9蒋中良,张艳,王莉,付计峰.尿毒症维持性血液透析患者甲状旁腺素与血清碱性磷酸酶的相关性分析[J].中国基层医药,2011,18(18):2542-2543. 被引量:4
  • 10王琳,许广大,杨霞.甲状旁腺全切除术对继发性甲状旁腺功能亢进症的疗效观察[J].中国医师进修杂志,2011,34(27):58-60. 被引量:2

二级参考文献37

  • 1李海明,顾勇,薛骏,李铭新,陈靖,陆福明,王红鹰,邹强.甲状旁腺全切除加前臂移植治疗尿毒症继发性甲状旁腺功能亢进[J].中华肾脏病杂志,2006,22(4):197-200. 被引量:40
  • 2胡建明,吴宏飞,王笑云,俞香宝,赵奕华,沈霞,刘佳,孙彬,邢昌赢,杨俊伟.肾性甲状旁腺功能亢进症甲状旁腺全切加前臂移植31例临床分析[J].中华内科杂志,2006,45(9):714-716. 被引量:28
  • 3梅长林.叶朝阳.戎殳.实用透析手册[M].北京:人民卫生出版社,2009:162.
  • 4Slatopolsky E, Brown A, Dusso A. Role of phosphorus in the patho- genesis of secondary hyperparathyroidism. Am J Kidney Dis,2001, 37( 1 ) :54-57.
  • 5Epstein S. Serum and urinary markers of bone remodeling:assess- ment of bone turnover. Endocrine Rev, 1988,9 (4) :437-449.
  • 6Stracke S,Keller F,Steinbach G,et al.Long-term outcome after total parathyroidectomy for the management of secondary hyperparatyroidism.Nephron Clin Pract,2009,111 (2):102-109.
  • 7Rayes N,Seehofer D,Schindler R,et aL Long-term results of subtotal vs total parathyroidectomy without autotransplantation in kidney transplant recipients.Arch Surg,2008,143 (8):756-761.
  • 8Tokumoto M,Taniguchi M,Matsuo D,et al.Parathyroid cell growth in patients with advanced secondary hyperparathyroidism:vitamin D receptor,calcium sensing receptor,and cell cycle regulating factors.Ther Apher Dial,2005,9(1):27-34.
  • 9Fukuda N,Tanaka H,Tominaga Y,et al.Decreased 1,25 dihydroxyvitamin D3 receptor density is associated with a more severe form of parathyroid hyperplasia in chronic uremic patients.J Clin Invest,1993,92(3):1436-1440.
  • 10Stracke S,Jehle PM,Sturm D,et al.Clinical course after total parathyroidectomy without autotransplantation in patients with end-stage renal failure.Am J Kidney Dis,1999,33 (2):304-311.

共引文献17

同被引文献12

引证文献2

二级引证文献1

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