单词 | hyperammonemia |
释义 | hyperammonemiahyperammonemia[hi″per-am″mo-ne´me-ah]am·mo·ne·mi·a, ammoniemia (am'ō-nē'mē-ă, am'ō-ne-ē'mē-ă),hyperammonemiaMetabolism A heterogeneous group of five largely AR inborn errors of metabolism; each has a defect in a urea cycle enzyme–arginase, argininosuccinase, argininosuccinic acid synthetase, carbamyl phosphate synthetase, ornithine transcarbamylase; all begin in late infancy or childhood, except arginase deficiency, which is neonatal Clinical Accumulation of urea precursors–eg, ammonia, glutamine causes progressive lethargy, hyperthermia, apnea, hyperammonemia Diagnosis may be established in utero by restriction fragment–RFLP analysis Treatment Restrict dietary protein; activate alternate pathways of waste nitrogen excretion–eg, sodium benzoate or dietary supplementation with arginine |
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