慢性肾脏病(CKD)患儿可能会出现内分泌激素水平紊乱,引起甲状旁腺功能亢进、甲状腺功能减退、生长迟缓、青春发育延迟、胰岛素抵抗、贫血、骨骼疾病和心血管疾病等并发症。本文就CKD患儿并发的下丘脑-垂体前叶激素轴不足相关疾病进行综述,主要包括甲状腺功能减退、生长迟缓、肾上腺皮质功能不全、青春发育延迟等,以期为CKD患儿的全面管理提供参考。
慢性肾脏病(CKD)患儿可能会出现内分泌激素水平紊乱,引起甲状旁腺功能亢进、甲状腺功能减退、生长迟缓、青春发育延迟、胰岛素抵抗、贫血、骨骼疾病和心血管疾病等并发症。本文就CKD患儿并发的下丘脑-垂体前叶激素轴不足相关疾病进行综述,主要包括甲状腺功能减退、生长迟缓、肾上腺皮质功能不全、青春发育延迟等,以期为CKD患儿的全面管理提供参考。
Children with chronic kidney disease (CKD) may have endocrine hormone levels disorders, which may cause complications such as hyperparathyroidism, hypothyroidism, growth retardation, delayed puberty, insulin resistance, anemia, bone diseases, and cardiovascular diseases. This paper reviews CKD and concomitant diseases related to hypothalamic⁃anterior pituitary hormone axis insufficiency in children, mainly including hypothyroidism, growth retardation, adrenocortical insufficiency, and delayed puberty, etc., aiming at providing a reference for the comprehensive management of children with CKD.