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肾性骨营养不良(ROD)是慢性肾功能衰竭(CRF)的一种并发症,已为人们所熟知, 本文随机抽取临床确诊为尿毒症患者胸正位片40例,其中男26例,女14例。年龄最大63岁,最小20岁。病程最短3个月,最长10年。对其锁骨胸骨前端依关节白线、关节面、锁骨内端骨小梁等骨质情况进行观察分析。结果40例中有锁骨胸骨端改变者12例,占30%。ROD是CRF发生一系列骨骼病变的总称,是尿毒症患者常见的并发症之一。主要包括肾性纤维性骨炎,肾性佝偻病或软骨病,肾性纤维性骨炎和软骨病混合型以及骨硬化症和侏儒症等。其发病机理目前认为,维生素D、钙、磷、铝和甲状旁腺素的变化是造成骨骼病变的主要因素。另外还有酸中毒、大量应用肝素、氟中毒以及透析患者应用抗惊厥药等。
Renal osteodystrophy (ROD) is a complication of chronic renal failure (CRF) and is well known. In this paper, we randomly selected 40 cases of thoracic radiographs of uremic patients, including 26 males and 32 females 14 cases. The oldest is 63 years old and the youngest is 20 years old. The shortest duration of 3 months, up to 10 years. To the front of the clavicle sternum according to the white line of articular surface, the surface of the clavicle medullary trabecular and other bone conditions were observed and analyzed. Results Of the 40 cases, there were 12 cases with changes of the sternocleidomastoid in 30 cases. ROD is a general term for a series of skeletal diseases in CRF and is one of the common complication of uremia patients. Mainly include renal fibrositis, renal rickets or cartilage disease, renal fibrositis and osteomalacia and osteosclerosis and dwarfism and so on. Its pathogenesis is currently that the changes of vitamin D, calcium, phosphorus, aluminum and parathyroid hormone are the main factors causing skeletal lesions. In addition there are acidosis, a large number of applications of heparin, fluorosis and dialysis patients with anticonvulsant drugs.