[原发性特发性血色素沉着病(嗜铁症)模型物质的吸收和生物转化]。

A Hoffmann, A Müller, M Reinhardt, J Truckenbrodt, D Jorke
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引用次数: 0

摘要

用模型物质测定12例原发性特发性血色素沉着病患者的吸收和生物转化。目的探讨肝生物转化与肝损伤程度及临床表现的相关性。我们在患者中测定并与对照组比较:尿中甲硝唑的消除,血清中咖啡因的吸收和消除,尿中磺胺二嗪的血清浓度和消除,木糖的吸收。在伴有轻微肝损害的血色素沉着患者中,只有甲硝唑的去甲基化减慢。在肝损害程度较高的患者中,甲基咪唑和咖啡因的消除量都减少了。由于患者组中有高比例的慢乙酰化反应,磺胺乙嗪的代谢降低。-生物体的铁负荷、木糖的吸收和模式物质的生物转化之间没有相关性。
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[Resorption and biotransformation of model substances in primary idiopathic hemochromatosis (siderophilia)].

In 12 patients with primary idiopathic haemochromatosis absorption and biotransformation were measured by model substances. Aim of the investigation was the correlation of the biotransformation of the liver with the degree of liver injury and the clinical picture. We determined in patients and compared with control group: elimination of metamizol in urine, absorption and elimination of caffeine in serum, serum concentrations and elimination of sulfamethazin in urine, absorption of xylose, - In patients with haemochromatosis accompanied with slight liver damage only demethylation of metamizol was slackened. In patients with higher degree of liver damage the elimination of metamizol as well as of caffeine was decreased. Because of the high percentage of slow acetylators in the patient group metabolism of sulfamethazine is decreased. - There was no correlation between iron loading of the organism, absorption of xylose and biotransformation of the model substances.

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