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低磷血症作为急性意识模糊状态的一个病因。

Hypophosphataemia as a cause of acute confusional state.

作者信息

Ninan Sean, Lloyd David, Saraswat Manoj

机构信息

Hull Royal Infirmary, Hull, UK.

出版信息

BMJ Case Rep. 2012 Oct 6;2012:bcr2012006960. doi: 10.1136/bcr-2012-006960.

DOI:10.1136/bcr-2012-006960
PMID:23045446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4543698/
Abstract

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.

摘要

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。

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引用本文的文献

1
Hypophosphataemia: an important cause of collapse.低磷血症:虚脱的一个重要原因。
BMJ Case Rep. 2018 Jul 18;2018:bcr-2018-225821. doi: 10.1136/bcr-2018-225821.

本文引用的文献

1
Treatment of hypophosphatemia in the intensive care unit: a review.重症监护病房低磷血症的治疗:综述。
Crit Care. 2010;14(4):R147. doi: 10.1186/cc9215. Epub 2010 Aug 3.
2
Hypophosphatemia: an update on its etiology and treatment.低磷血症:病因与治疗的最新进展
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3
Central pontine myelinolysis temporally related to hypophosphataemia.与低磷血症时间相关的中央桥脑髓鞘溶解症。
J Neurol Neurosurg Psychiatry. 2003 Jun;74(6):820. doi: 10.1136/jnnp.74.6.820.
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Magnesium and phosphorus.镁和磷。
Lancet. 1998 Aug 1;352(9125):391-6. doi: 10.1016/S0140-6736(97)10535-9.
5
Precipitous fall in serum calcium, hypotension, and acute renal failure after intravenous phosphate therapy for hypercalcemia. Report of two cases.静脉注射磷酸盐治疗高钙血症后血清钙急剧下降、低血压及急性肾衰竭。两例报告。
Ann Intern Med. 1967 May;66(5):906-16. doi: 10.7326/0003-4819-66-5-906.
6
Paresthesias, weakness, seizures, and hypophosphatemia in patients receiving hyperalimentation.接受胃肠外营养的患者出现感觉异常、虚弱、癫痫发作和低磷血症。
Gastroenterology. 1972 Apr;62(4):513-20.
7
Acute severe hypophosphataemia mimicking Wernicke's encephalopathy.酷似韦尼克脑病的急性重度低磷血症
Lancet. 1986 Jan 4;1(8471):44. doi: 10.1016/s0140-6736(86)91926-4.
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Visual hallucination related to severe hypophosphataemia.与严重低磷血症相关的视幻觉
Lancet. 1991 Oct 26;338(8774):1083. doi: 10.1016/0140-6736(91)91942-n.
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Hypophosphatemia associated with coma.与昏迷相关的低磷血症。
Can Med Assoc J. 1978 Jul 22;119(2):143-5.