Bailey C S, Weiner J J, Gibby O M, Penney M D
Department of Clinical Biochemistry, Royal Gwent Hospital, Cardiff Road, Newport, South Wales, UK.
Ann Clin Biochem. 2008 Sep;45(Pt 5):527-9. doi: 10.1258/acb.2008.008006.
This report describes the presentation and clinical course of a 40-year-old woman who had an emergency admission for eclampsia. During routine investigations, she was found to have profound hypercalcaemia, the cause of which was identified as milk-alkali syndrome, caused by self-medication with antacid tablets for dyspepsia. Treatment with aggressive rehydration, bisphosphonates and discontinuation of antacid tablets restored normocalcaemia. The patient made a full recovery with no long-term side-effects. Her male infant was safely delivered with no deleterious effects of exposure to high calcium concentrations in utero.
本报告描述了一名40岁因子痫急诊入院的女性的临床表现和病程。在常规检查中,发现她患有严重的高钙血症,其病因被确定为乳碱综合征,由自行服用抗酸剂片剂治疗消化不良所致。通过积极补液、使用双膦酸盐并停用抗酸剂片剂,血钙恢复正常。患者完全康复,无长期副作用。她的男婴安全分娩,未受子宫内高钙浓度的有害影响。