Nemer W F, Teba L, Schiebel F, Lazzell V A
Department of Anesthesiology, West Virginia University Medical Center, School of Medicine, Morgantown 26506.
South Med J. 1988 Aug;81(8):1068-9.
Symptoms of hyperphosphatemia usually relate to the associated hypocalcemia. In a 33-year-old patient accidental infusion of a bolus of potassium phosphate (5 ml intravenously) was immediately followed by cardiac arrest. During CPR, clinically important hypocalcemia or hyperkalemia was not detected, but serum phosphorus was significantly increased. Because acute phosphate load can precipitate life-threatening cardiac arrhythmias, familiarity with doses and rate of infusion of phosphate is extremely important.
高磷血症的症状通常与相关的低钙血症有关。一名33岁的患者意外静脉推注了5毫升磷酸钾，随后立即发生心脏骤停。在心肺复苏期间，未检测到具有临床意义的低钙血症或高钾血症，但血清磷显著升高。由于急性磷酸盐负荷可引发危及生命的心律失常，熟悉磷酸盐的剂量和输注速度极为重要。
