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9例抗维生素D性佝偻病中,其中4例为肾小管性酸中毒症。治疗时应注意在应用碳酸氢钠、口服枸橼酸钾、钠纠酸过程前或治疗中加VD_3及钙剂效果较满意。1例为低钙性抗D性佝偻病,反复发作腕、踝关节挛缩僵直为其临床特点。治疗除用钙剂外还须注射大量VD_3(180万u)方能奏效。1例为肝豆状核变性继发范可尼氏征,具备明显的家族史,临床上遇肝豆状核变性患者,应立即验尿,考虑是否有继发范可尼氏征的可能。1例为低血磷性佝偻病,2例为肾性佝偻病。
Nine cases of anti-vitamin D rickets, of which 4 cases of renal tubular acidosis. Treatment should be noted in the application of sodium bicarbonate, oral potassium citrate, acid correction process before or in treatment with VD_3 and calcium more satisfactory results. 1 case of hypocalcemic resistance to D rickets, recurrent wrist, ankle joint contracture of its clinical features. In addition to calcium treatment in addition to a large number of injection must VD_3 (1.8 million u) before they can work. One case of Wilson’s disease secondary to Wilson’s disease with Wilson’s disease, with a clear family history, patients with hepatolenticular degeneration clinically, should immediately urine test to consider whether there is the possibility of secondary Fanconi’s sign. 1 case of hypophosphatemic rickets, 2 cases of renal rickets.