並列摘要
Urolithiasis is a common disease in Nephrology. Most of the stones are calcium-based stones composed of calcium phosphate or calcium oxalate, and uric acid nephrolithiasis accounts for about 10% of total stones. Chronic diarrhea, diabetes mellitus, obesity, and metabolic syndrome are risk factors of uric acid nephrolithiasis. The causes of uric acid stones including: decreased urine amount, hyperuricosuria, and urine pH less than 5.5. Computed tomography is the gold standard to diagnose urolithiasis. Urine alkalization, an increase of fluid intake, and the use of xanthine oxidase inhibitor could treat uric acid stones. Without severe complications, medical therapy is efficient in most patients with uric acid nephrolithiasis.
延伸閱讀
- Chou, Y. H., Li, W. M., Li, C. C., Huang, S. P., Liu, C. C., Wu, W. J., Hsiao, H. L., Chang, T. H., Juan, Y. S., Su, C. Y., Hsu, H., & 黃俊雄 (2007). 尿酸尿路結石的臨床研究. The Kaohsiung Journal of Medical Sciences, 23(6), 298-301. https://www.airitilibrary.com/Article/Detail?DocID=02575655-200706-23-6-298-301-a
- 張德明（2005）。尿酸是什麽？。健康世界，(239)，61-62。https://doi.org/10.6454/HW.200511.0061
- 黃瓊雪（2012）。腫瘤溶解症候群與血液尿酸檢測。台灣醫檢會報，27(2)，103-103。https://doi.org/10.6998/BTSLM.201206.0103
- 高德亨（1981）。尿酸結晶與痛風關節炎。當代醫學，(93)，544-546。https://doi.org/10.29941/MT.198107.0005
- Lin, M. T., Tsau, Y. K., Tsai, W. Y., Tsai, W. S., Lu, F. L., Hsiao, P. H., & Chen, C. H. (1999). Nephrocalcinosis in Childhood. Acta Paediatrica Sinica, 40(1), 27-30. https://doi.org/10.7097/APS.199902.0027