Brunelli Steven M, Goldfarb Stanley
Renal-Electrolyte and Hypertension Division, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.
J Am Soc Nephrol. 2007 Jul;18(7):1999-2003. doi: 10.1681/ASN.2007020143. Epub 2007 Jun 13.
Current evidence regarding the clinical consequences of hypophosphatemia is not straightforward. Given the potentially different implications of hypophosphatemia among various patient groups, this commentary touches on patients with low serum phosphate after acute hospitalization, those with chronic ambulatory hypophosphatemia, and those with hypophosphatemia in the setting of advanced renal disease. Finally, this commentary examines the evidence regarding how best to replete phosphorous in the hypophosphatemic patient.
目前关于低磷血症临床后果的证据并不明确。鉴于低磷血症在不同患者群体中可能具有不同的影响,本评论涉及急性住院后血清磷酸盐水平低的患者、慢性非卧床低磷血症患者以及晚期肾病患者中的低磷血症患者。最后,本评论审视了关于如何最佳地补充低磷血症患者磷元素的证据。