Hypophosphatemia, with or without phosphorus deficiency, is found commonly in patients with a variety of disease states. Severe hypophosphatemia is most often observed in chronic alcoholics, patients recovering from diabetic ketoacidosis and those being therapeutically re-fed after severe weight loss. Its consequences may be severe. In this review, an attempt is made to examine mechanisms by which hypophosphatemia and phosphorus depletion probably occur, to outline the resulting clinical disturbances and to suggest a plan of treatment.
低磷血症,无论有无磷缺乏,常见于患有多种疾病状态的患者中。严重低磷血症最常出现在慢性酒精中毒患者、从糖尿病酮症酸中毒中恢复的患者以及严重体重减轻后接受营养再喂养的患者中。其后果可能很严重。在本综述中,我们试图探讨低磷血症和磷耗竭可能发生的机制,概述由此产生的临床紊乱,并提出治疗方案。