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内分泌和代谢急症:低钙血症。

Endocrine and metabolic emergencies: hypocalcaemia.

机构信息

Glenn Matfin Joslin Diabetes Center, Harvard Medical School, Boston, MA, USA; and Division of Endocrinology, New York University School of Medicine New York, NY, USA.

出版信息

Ther Adv Endocrinol Metab. 2010 Feb;1(1):29-33. doi: 10.1177/2042018810366494.

DOI:10.1177/2042018810366494
PMID:23148147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3474611/
Abstract

Hypocalcaemia is a common electrolyte disturbance, especially in the inpatient setting. There are a wide variety of causes of hypocalcaemia and correct management depends on the underlying diagnosis. However, acute hypocalcaemia is associated with significant morbidity and mortality and should be managed as a medical emergency. Chronic care of the hypocalcaemic patient is also briefly described, as this is an important opportunity to reduce further admissions related to both hypocalcaemic and hypercalcaemic presentations.

摘要

低钙血症是一种常见的电解质紊乱,尤其是在住院环境中。低钙血症有多种原因,正确的治疗取决于潜在的诊断。然而,急性低钙血症与显著的发病率和死亡率相关,应作为医疗急症进行管理。本文还简要描述了低钙血症患者的慢性护理,因为这是一个减少与低钙血症和高钙血症表现相关的进一步住院的重要机会。

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Endocrine and metabolic emergencies: hypocalcaemia.内分泌和代谢急症:低钙血症。
Ther Adv Endocrinol Metab. 2010 Feb;1(1):29-33. doi: 10.1177/2042018810366494.
2
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Hypocalcaemic laryngospasm in the emergency department.急诊科的低钙血症性喉痉挛
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本文引用的文献

1
Diagnosis and management of vitamin D deficiency.维生素D缺乏症的诊断与管理
BMJ. 2010 Jan 11;340:b5664. doi: 10.1136/bmj.b5664.
2
Agonists and allosteric modulators of the calcium-sensing receptor and their therapeutic applications.钙敏感受体的激动剂和变构调节剂及其治疗应用。
Mol Pharmacol. 2009 Dec;76(6):1131-44. doi: 10.1124/mol.109.058784. Epub 2009 Sep 24.
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A review of drug-induced hypocalcemia.药物性低钙血症的研究综述。
J Bone Miner Metab. 2009;27(6):635-42. doi: 10.1007/s00774-009-0119-x.
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Clinical practice. Hypoparathyroidism.临床实践。甲状旁腺功能减退症。
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Diagnosis and management of hypocalcaemia.低钙血症的诊断与管理
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Prevalence and predictive value of ionized hypocalcemia among critically ill patients.危重症患者中离子化低钙血症的患病率及预测价值
Acta Anaesthesiol Scand. 2003 Nov;47(10):1264-9. doi: 10.1046/j.1399-6576.2003.00236.x.
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The Chvostek sign; a clinical study.Chvostek征:一项临床研究。
Am J Surg. 1958 Jul;96(1):33-7. doi: 10.1016/0002-9610(58)90868-7.
8
Long-term treatment of hypoparathyroidism: a randomized controlled study comparing parathyroid hormone-(1-34) versus calcitriol and calcium.甲状旁腺功能减退症的长期治疗:一项比较甲状旁腺激素(1-34)与骨化三醇及钙剂的随机对照研究。
J Clin Endocrinol Metab. 2003 Sep;88(9):4214-20. doi: 10.1210/jc.2002-021736.
9
Hypocalcemia: a pervasive metabolic abnormality in the critically ill.低钙血症:危重症患者中普遍存在的代谢异常。
Am J Kidney Dis. 2001 Apr;37(4):689-98. doi: 10.1016/s0272-6386(01)80116-5.