在成年患者中发现的持久性低酸血症的临床特征:日本三级医院的一项回顾性研究
Shintaro Fujiwara1,2, Yuki Otsuka1, Masanori Furukawa3
1Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.
Journal of clinical medicine
|December 17, 2024
概括
持久性低酸血症,以低酸酶 (ALP) 水平为特征,影响0.54%的成年人. 无法解释的病例可能表明成人低,需要进一步调查.
科学领域:
- 内分泌学 在内分泌学.
- 代谢疾病 代谢疾病
- 临床化学 临床化学
背景情况:
- 低酸盐血症是一种诊断不足的疾病,可能与各种病理有关.
- 早期识别低酸盐症对于及时干预和管理至关重要.
研究的目的:
- 为了确定在大量成人医院人口中持续性低酸血症的患病率.
- 描述与持续性低酸盐血症相关的临床和实验室发现.
主要方法:
- 追溯性观察性研究分析了3年来50136名成年患者的性酸酶 (ALP) 测试结果.
- 持续性低酸血症被定义为持续低的ALP水平 (28天≤40 IU/L,最低≤35 IU/L).
主要成果:
- 在273名患者 (0.54%) 中发现了持续性低酸血症,主要是女性和年轻人.
- 常见的原因包括癌症 (30%),葡萄糖皮质激素使用 (21%) 和免疫抑制剂 (16%).
- 14%的患者患有不明原因的低酸血症,有些患者有症状暗示成人低酸血症.
结论:
- 在这个日本的三级医疗机构中,持续性低酸血症的患病率为0.54%.
- 虽然经常与已知的原因有关,但无法解释的病例可能标志着成人低度症.
- 对于患有不明原因的低ALP和相关症状的患者,建议进一步评估成人低度.
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