Ninan Sean, Lloyd David, Saraswat Manoj
Hull Royal Infirmary, Hull, UK.
BMJ Case Rep. 2012 Oct 6;2012:bcr2012006960. doi: 10.1136/bcr-2012-006960.
A 74-year-old gentleman presented with an acute onset of confusion and agitation. His symptoms were so severe that he had to be sedated and intubated for CT scan. All investigations were unremarkable, except a low serum phosphate. He was treated with intravenous phosphate and his symptoms improved in line with the rise in his serum phosphate. By discharge, he had returned to his previous state of health. The cause of the hypophosphataemia was not apparent; we have asked his general practitioner to monitor his serum phosphate.
一位74岁的男性患者出现急性意识模糊和躁动。他的症状非常严重,以至于必须进行镇静和插管以便进行CT扫描。除了血清磷酸盐水平低外,所有检查均无异常。他接受了静脉注射磷酸盐治疗,随着血清磷酸盐水平的升高,症状有所改善。出院时,他已恢复到之前的健康状态。低磷血症的病因尚不明确;我们已要求他的全科医生监测他的血清磷酸盐水平。