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氯甲双磷酸酯(clodronate disodium dichloromethylene diphosphonate;Cl_2MDP)是骨吸收的强效抑制剂。作者用本药(简称Clo)治疗9例原发性甲状旁腺功能亢进(甲旁亢)患者。其中男1例,女8例,年龄61~72岁。甲旁亢并发症包括肾结石(3例),骨痛(3例)和便秘及夜尿症(1例)。全部患者均未接受噻嗪类利尿剂;仅1例有脱水,于研究前输注氯化钠治疗了3天。所有患者肾功能正常和有甲旁亢的生化证据(持久的高钙血症,血磷降低和
Clodronate disodium dichloromethylene diphosphonate (Cl 2 MDP) is a potent inhibitor of bone resorption. The authors used the drug (referred to as Clo) treatment of 9 patients with primary hyperparathyroidism (hyperparathyroidism) patients. Including 1 males and 8 females, aged 61 to 72 years. Hyperparathyroidism complications include kidney stones (3 cases), bone pain (3 cases) and constipation and nocturia (1 case). Thiazide diuretics were not administered to all patients; only 1 patient had dehydration and had sodium chloride infusion for 3 days prior to the study. Biochemical evidence of normal renal function and hyperparathyroidism in all patients (long-lasting hypercalcaemia, hypophosphatemia and