Morton Adam
Mater Hospital, Raymond Tce, Brisbane, Australia.
Obstet Med. 2018 Jun;11(2):67-72. doi: 10.1177/1753495X17744478. Epub 2018 Mar 7.
Hypomagnesaemia is common in pregnancy, particularly in developing countries and low-income communities. Despite the frequent therapeutic use of magnesium in pregnancy, and the evidence regarding the association of hypomagnesaemia with adverse pregnancy outcomes in animal studies, it remains unclear whether hypomagnesaemia is associated with complications in human pregnancy. Three case reports of pregnancies complicated by moderate-severe hypomagnesaemia are presented and magnesium physiology in pregnancy is discussed. The evidence as to whether hypomagnesaemia may represent a direct cause, a consequence of other disease processes or an epiphenomenon in adverse pregnancies outcomes is reviewed.
低镁血症在孕期很常见,在发展中国家和低收入社区尤为如此。尽管孕期经常使用镁进行治疗,且动物研究中有证据表明低镁血症与不良妊娠结局有关,但低镁血症是否与人类妊娠并发症相关仍不清楚。本文介绍了3例合并中度至重度低镁血症的妊娠病例报告,并讨论了孕期镁的生理情况。本文还综述了关于低镁血症是否可能是不良妊娠结局的直接原因、其他疾病过程的结果或一种附带现象的证据。