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肾脏对各种激素的生成和代谢具有十分重要的作用。慢性肾功能衰竭对机体内环境的改变也必然影响到激素合成及分泌的变化,并可以引起激素在靶组织作用的改变。本文复习了近年该领域有关文献,对慢性肾功能衰竭时甲状腺、性腺、糖代谢、甲状旁腺及肾上腺的内分泌及代谢紊乱作了扼要综述,并重点强调了这些紊乱对临床诊断及处理中可能造成的混淆及困难,以期对合理的临床认识及思维提供有关资料。
The kidneys play a very important role in the production and metabolism of various hormones. Chronic renal failure on the body of the environment changes will inevitably affect the hormone synthesis and secretion changes, and can cause hormones in the target tissue changes. This review of the literature in recent years in this area, the chronic thyroid failure of thyroid, gonadal, glucose metabolism, parathyroid and adrenal endocrine and metabolic disorders were briefly reviewed, and the emphasis on these disorders for clinical diagnosis and treatment may Resulting in confusion and difficulties, with a view to providing reasonable clinical knowledge and thinking to provide relevant information.