MEDICAL PROGRESS - THE PATHOGENESIS AND TREATMENT OF KIDNEY-STONES

被引:544
作者
COE, FL
PARKS, JH
ASPLIN, JR
机构
[1] Section of Nephrology, University of Chicago, Pritzker School of Medicine, Chicago, IL 60637, 5841 S. Maryland Ave.
关键词
D O I
10.1056/NEJM199210153271607
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
ABOUT three fourths of all kidney stones are composed of calcium oxalate1; most calcium oxalate stones also contain a small amount of hydroxyapatite, and 10 to 12 percent contain some uric acid.2 Ten to 20 percent of stones contain struvite (magnesium ammonium phosphate) produced by a urinary tract infection with bacteria that express the enzyme urease.3 Five percent of stones are pure uric acid, 5 percent contain more than 50 percent hydroxyapatite or calcium monohydrogen phosphate (brushite), and less than 1 percent are composed of cystine. Whereas most calcium oxalate stones are less than 2 cm in diameter, struvite,… © 1992, Massachusetts Medical Society. All rights reserved.
引用
收藏
页码:1141 / 1152
页数:12
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