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目的探讨维持性血液透析继发甲状旁腺功能亢进症(SHPT)的治疗。方法选取维持透析治疗患者筛查血液PTH升高>200pg/ml,血液PTH升高>400pg/ml者建议加血液滤过一次/周,骨化三醇2~4μg/次,2次/周,8周后改为0.25μg/d,共随诊6个月,并都给予正规血透治疗。结果 8周后患者疲乏无力、骨骼肌肉疼痛、皮肤瘙痒等症状明显好转。结论骨化三醇冲击治疗+血液滤过治疗维持性血液透析继发甲状旁腺功能亢进症的患者疗效明显。
Objective To investigate the treatment of maintenance hemodialysis secondary hyperparathyroidism (SHPT). Methods: Patients with dialysis should be screened for blood PTH increased> 200pg / ml, blood PTH increased> 400pg / ml recommended hemoperfusion once / week, calcitriol 2 ~ 4μg / time, 2 times / After 8 weeks to 0.25μg / d, a total of 6 months follow-up, and are given regular hemodialysis. Results 8 weeks after the patient fatigue, skeletal muscle pain, skin itching and other symptoms improved significantly. Conclusion calcitriol shock therapy and hemofiltration in patients with maintenance hemodialysis secondary hyperparathyroidism have obvious curative effect.