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一名酗酒者因低镁血症导致肌病和低钙血症。

Hypomagnesaemia causing myopathy and hypocalcaemia in an alcoholic.

作者信息

Pall H S, Williams A C, Heath D A, Sheppard M, Wilson R

机构信息

Department of Neurology, Queen Elizabeth Hospital, Birmingham, UK.

出版信息

Postgrad Med J. 1987 Aug;63(742):665-7. doi: 10.1136/pgmj.63.742.665.

Abstract

A well-nourished alcoholic patient developed a subacute myopathy which responded rapidly to correction of severe hypomagnesaemia. The finding of profound hypocalcaemia prompted the measurement of serum magnesium. Magnesium deficiency should be looked for in any alcoholic patient with a myopathy as the prognosis seems better than in many other forms of alcoholic myopathy. Correction of the magnesium deficiency corrects the hypocalcaemia without the need for calcium supplementation.

摘要

一名营养状况良好的酗酒患者患上了亚急性肌病,在严重低镁血症得到纠正后,病情迅速好转。严重低钙血症的发现促使对血清镁进行检测。对于任何患有肌病的酗酒患者,都应查找镁缺乏情况,因为其预后似乎比许多其他形式的酒精性肌病要好。纠正镁缺乏可纠正低钙血症,而无需补充钙剂。

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本文引用的文献

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Experimental human magnesium depletion.人体镁缺乏实验
Medicine (Baltimore). 1969 Jan;48(1):61-85. doi: 10.1097/00005792-196901000-00003.
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Hypokalemic myopathy in chronic alcoholism.慢性酒精中毒性低钾性肌病
Neurology. 1971 Nov;21(11):1160-8. doi: 10.1212/wnl.21.11.1160.
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Magnesium status of alcoholic patients.酗酒患者的镁状态。
Metabolism. 1972 Nov;21(11):1045-51. doi: 10.1016/0026-0495(72)90035-2.
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Magnesium-dependent vitamin-D-resistant rickets.
Lancet. 1974 May 18;1(7864):963-5. doi: 10.1016/s0140-6736(74)91265-3.

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