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双价离子代谢紊乱常见于肾功能衰竭患者。治疗的目的是:①维持血钙、磷接近正常;②预防甲旁亢的发生,如已发生要抑制其作用;③预防和治疗骨病;④预防和治疗软组织钙化;⑤治疗近端肌病、骨痛、瘙痒和软组织坏死。近代治疗方法有:①补钙;②限制食物中磷和用结合磷酸基制酸剂;③给与维生紊D或其代谢物;④透析患者用适当成分的透析液;⑤对铝负荷增加的患者用铝螯合剂;⑥甲状旁腺切除
Bivalent ion metabolism disorders common in patients with renal failure. The purpose of treatment is: ① maintain serum calcium and phosphorus close to normal; ② prevent the occurrence of hyperparathyroidism, as has occurred to inhibit its role; ③ prevention and treatment of bone disease; ④ prevent and treat soft tissue calcification; ⑤ treatment of proximal myopathy , Bone pain, itching and soft tissue necrosis. Modern methods of treatment are: ① calcium; ② limit the phosphorus in food and the use of phosphate-based acid-forming agent; ③ vitamin D or its metabolites; ④ dialysis patients dialysis fluid with the appropriate composition; ⑤ increased aluminum load Of patients with aluminum chelators; ⑥ parathyroid surgery