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胰腺炎或组织学检查证实的胰腺损害常见于慢性肾功能衰竭,且并发于3~7%的肾移植手术患者。高血钙症作为甲状旁腺机能亢进、高脂血症、病毒感染的后果对尿毒症患者来说可能是促发因素。偶尔使用的药物如皮质类固醇、细胞毒制剂或噻嗪类药物也可能是一种因素。作者报告2例接受血液透析治疗的患者由于低张液透析引起急性血管内溶血所致的急性胰腺炎。例1:女性,42岁,因继发于复发性肾病的晚期
Pancreatitis or histologically confirmed pancreatic lesions are common in patients with chronic renal failure and are complicated by 3-7% of renal transplant surgeries. Hypercalcemia as hyperparathyroidism, hyperlipidemia, the consequences of viral infection may be a precipitating factor for uremic patients. Occasionally medications such as corticosteroids, cytotoxic agents or thiazides may also be a factor. The authors report two patients with hemodialysis who developed acute pancreatitis due to acute intravascular hemolysis due to hypotonic fluid dialysis. Example 1: Female, 42 years old, due to secondary to secondary nephropathy