Hafez M, Mohareb S W, Hafez T A, Fahmi H A, Kassem A S, El Nahhas M R, El-Nady A
Gaz Egypt Paediatr Assoc. 1975 Jul-Oct;23(3-4):243-52.
Investigations were done to study the calcium and phosphorus metabolic changes in 35 children with hepatic bilharziasis, of whom 12 were ascitic. Thirteen normal children served as controls. Despite a normal serum level of both calcium and inorganic phosphate in the Bilharzial group, yet both were increased in urine. The mean values obtained from the ascitic fluid were 70% and 90.2% of their serum levels, respectively. The corrected creatinine clearance was significantly diminished, while PEI was significantly increased, and the % TRP significantly decreased, with still a more marked decrease in the ascitic cases. Following a phosphate lead the serum inorganic phosphate level showed a significantly more rapid lowering in both bilharzial groups, as compared to the control group. On the other hand bilharzial cases responded to the intravenous calcium load by a significant retention of calcium in the serum.
对35例肝血吸虫病患儿进行了研究，以探讨其钙磷代谢变化，其中12例有腹水。13名正常儿童作为对照。尽管血吸虫病组血清钙和无机磷水平正常，但两者在尿中均升高。腹水中钙和无机磷的平均值分别为血清水平的70%和90.2%。校正肌酐清除率显著降低，而磷排泄指数显著升高，可滴定酸百分比显著降低，腹水患儿降低更明显。给予磷负荷后，与对照组相比，两个血吸虫病组血清无机磷水平下降明显更快。另一方面，血吸虫病患儿静脉注射钙负荷后，血清钙显著潴留。
