[低镁血症的影响]
[Effects of hypomagnesemia].
作者信息
Forest A, Lemaire A, Boddaert J, Verny M
机构信息
Service de gériatrie, hôpital de la Pitié-Salpétrière, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France.
出版信息
Rev Med Interne. 2009 Aug;30(8):696-9. doi: 10.1016/j.revmed.2009.03.012. Epub 2009 Apr 16.
INTRODUCTION
The clinical consequences of plasmatic magnesium variations are underecognized in clinical practice. The dosage of plasmatic magnesium is underused and not reliable. Moreover, hypomagnesemia is often associated with other metabolic disorders (hypocalcemia, hypokaliemia), which are responsible for several symptoms.
CASE REPORT
We report an 85-year-old man who presented with repeated bronchospasm, confusion, and abdominal and muscular pain, attributed to low magnesium serum level. We then review pathophysiology, various etiologies, clinical features, diagnostic challenge and treatment of low magnesium serum level.
CONCLUSION
Hypomagnesemia is poorly known and diagnosed. Therapeutic issues have not been clearly defined.
引言
血浆镁变化的临床后果在临床实践中未得到充分认识。血浆镁的检测未得到充分利用且不可靠。此外，低镁血症常与其他代谢紊乱（低钙血症、低钾血症）相关，这些紊乱会导致多种症状。
病例报告
我们报告了一名85岁男性，他出现反复支气管痉挛、意识模糊以及腹部和肌肉疼痛，原因是血清镁水平低。然后我们回顾了血清镁水平低的病理生理学、各种病因、临床特征、诊断挑战及治疗方法。
结论
低镁血症鲜为人知且诊断不足。治疗问题尚未明确界定。
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