甲酸四水合物 膀结石 膀结石
Steele Netterville1, Jacob Stevens1, Preston Royce Barron2
1School of Medicine, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA.
BMJ case reports
|January 29, 2026
概括
酸四水合物 (CTT) 膀结石很罕见. 本案例报告强调了潜在的风险因素,如L-卡尼L-酸盐补充剂,农药暴露,以及CTT结石形成中的神经性膀.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 环境健康 环境健康
背景情况:
- 膀结石占尿路结石的5%.
- 酸四水合物 (CTT) 结石在人类中异常罕见.
研究的目的:
- 报告一个罕见的大型CTT膀结石的病例.
- 为了确定CTT岩石形成的潜在促成因素.
主要方法:
- 一个60多岁的男性患者的案例介绍.
- 膀石组成的分析.
- 审查患者的病史,生活方式和职业暴露.
主要成果:
- 一个24.1毫米×35.6毫米的膀石被确定.
- 石头分析证实了100%的CTT成分.
- 确定了潜在的促使因素:未经治疗的糖尿病,高血压,慢性农药暴露,高能量饮料/补充剂摄入量 (L-carnitine L-tartrate) 和神经性膀.
结论:
- 这一案例强调了CTT膀结石的潜在环境和代谢风险因素.
- 食酸盐,补充剂使用和化学物质暴露可能在CTT石的病原发生中起作用.
- 需要进一步的研究来阐明CTT岩石形成的机制.
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