Hathout S M, el-Karim A H, el-Masry A A
Egypt J Bilharz. 1979;6(1-2):25-30.
Serum calcium, magnesium, phosphate and albumin were estimated in 74 bilharzial patients and 14 normal individuals as control. A significant hypocalcaemia and hyperphosphataemia was found in bilharzial patients with liver fibrosis and ascites. The authors suggest that these changes may be due to hypoparathyroidism. Both ascitic and non ascitic patients showed hypomagnesaemia. This hypomagnesaemia was more obvious in the ascitic group. The hypomagnesaemia is probably due to excess aldosterone secretion in these patients, combined with hypoparathyroidism in the cirrhotic patients with ascites.
对74例血吸虫病患者和14名正常个体作为对照进行了血清钙、镁、磷和白蛋白检测。在伴有肝纤维化和腹水的血吸虫病患者中发现了显著的低钙血症和高磷血症。作者认为这些变化可能是由于甲状旁腺功能减退所致。腹水患者和非腹水患者均出现低镁血症。这种低镁血症在腹水组更为明显。低镁血症可能是由于这些患者醛固酮分泌过多,再加上腹水肝硬化患者的甲状旁腺功能减退所致。