30例软骨病临床分析  

CLINICAL ANALYSIS OF 30 CASES OF OSTEOMALACIA

作　　者：董德长 

机构地区：[1]上海第二医学院附属瑞金医院内科肾病组

出　　处：《上海医学》1981年第4期21-26,61,63,共8页Shanghai Medical Journal

摘　　要：30例软骨病以肾小管缺陷为主要病因。解放前,在我国引起软骨病的主要因素是营养缺乏。除十分少见的低碱性磷酸酶症外,将软骨病病因分为缺乏维生素D作用和肾小管缺陷两大类。此分类法对临床工作简便、实用.本文着重软骨病的诊断及其各种病因的鉴别诊断,讨论了临床和X线表现以及生化变化,并介绍了治疗方法.30 cases of osteomalacia were studied.Renal tubular defect is now found to be the primary cause,while malnutrition was the main cause before liberation in China.With the exception of very rare cases of hypophosphatasia,osteomalacia may be classified into two categories,namely,insufficiency of vitamin D action and renal tubular defect.This classification is simple and practical in clinical application.Based on the clinical and X-ray manifestations and biochemical changes,the diagnosis and differential diagnosis of osteomalacia were discussed and various methods of treatment were outlined.

关 键 词：肾性骨营养不良 酸中毒 酸碱代谢紊乱 维生素D缺乏病 软骨病 继发性甲状旁腺功能亢进 甲状旁腺功能亢进症 维生素 肾小管性 治疗方法 血磷 血钙水平 磷酸盐尿症 范可尼综合征 甲状旁腺素 多肽激素 甲状旁腺激素 肾近曲小管 临床分析 

分 类 号：S85[农业科学—兽医学]