Kotova S M, Alesov V Z, Karlova N A, Kudriasheva G P, Sokhor A Ia, Fedorova A V, Lebedeva N A
Klin Med (Mosk). 1989 Oct;67(10):74-8.
Electrolytic imbalance is a frequent finding in malabsorption syndrome. Derangement of calcium metabolism present clinically in different variants is most serious. Some patients develop hypocalcemia manifesting clinically with specific myasthenia, paresthesias, convulsions, hemorrhages, etc. In other variants severe skeletal lesions are seen which may become dominating in the clinical picture though hypocalcemia was absent. Investigation of calcium metabolism, hormonal profile (parathormone, in particular) in malabsorption syndrome can prognosticate and prevent the onset of osteomalacia.
电解质失衡是吸收不良综合征中常见的表现。钙代谢紊乱在临床上有不同表现形式,其中最为严重。一些患者会出现低钙血症,临床表现为特定的肌无力、感觉异常、惊厥、出血等。在其他情况下,可见严重的骨骼病变,尽管没有低钙血症,但这些病变可能在临床症状中占主导地位。对吸收不良综合征患者的钙代谢、激素水平(尤其是甲状旁腺激素)进行检查,有助于预测和预防骨软化症的发生。