医学
噻嗪
高尿酸血症
肾结石
别嘌呤醇
随机对照试验
泌尿科
低钾血症
氢氯噻嗪
痛风
钙
利尿
高钙尿症
内科学
外科
肾
利尿剂
血压
作者
Claire Presne,Matthieu Monge,Pierre Bataille,el Esper N,Gabriel Choukroun,A Fournier
出处
期刊:PubMed
日期:2003-01-01
卷期号:24 (6): 303-7
被引量:4
摘要
Kidney stone, with or without lumbar pain, is a major health care problem because of its prevalence and cost for both the patient and the society. Although, surgical procedures are well known, medical treatment and recurrences prophylaxis are uncodified. Fifteen stone recurrence prevention studies have been reviewed, evaluating dietary intake and drugs. The most important factor is a daily diuresis of at least 2 liters. Calcium intake shouldn't be restricted, whereas oxalate, sodium, and protein intakes have to be limited. Hyper and normocalciuretic kidney stone formers improve their outcome with thiazide or indapamide treatment. Hyperuricosuria justifies allopurinol. Potassium citrate (without sodium) may decrease recurrence risk, even in patients without hypocitraturia.
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