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肝豆状核变性驱铜治疗的再认识 被引量:16

Update on decopper treatment in patients with hepatolenticular degeneration
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摘要 肝豆状核变性即Wilson病(WD),是少数几种可治的神经遗传性疾病之一。目前国内外常用的驱铜药物有青霉胺、曲恩汀、锌制剂和四硫钼酸盐。本文作者结合自己多年丰富的临床经验提出,青霉胺与曲恩汀并不适用神经型WD患者的初始治疗,而锌制剂可用于WD患者的初始以及终身维持治疗。对WD患者的低铜饮食笔者也提出了自己的观点。 Hepatolenticular degeneration, also called Wilson's disease (WD), is one of the curable genetic diseases in the field of neurology. Drugs commonly used in clinic include D-penicillamine, trientine, zinc and tetrathiomolybdate. The author of this review indicates that D-penicillamine and trientine are not proper to the WD patients with neurological symptoms in initial treatment, and zinc may be good in initial treatment and life-long maintenance. This review also describes the new opinion about low copper diet for WD patients.
作者 杨任民
出处 《世界临床药物》 CAS 2010年第5期257-260,共4页 World Clinical Drug
关键词 肝豆状核变性 青霉胺 曲恩汀 锌制剂 四硫钼酸盐 低铜饮食 hepatolenticular degeneration D-penicillamine trientine zinc tetrathiomolybdate low copper diet
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