Tovey S J, Benton K G, Lee H A
Postgrad Med J. 1977 Jun;53(620):289-97. doi: 10.1136/pgmj.53.620.289.
Seven patients with acute illnesses developed hypophosphataemia whilst receiving intravenous nutrition which included a fat emulsion, Intralipid, a possible source of phosphorus. The authors' observations cast doubt on the bio-availability of the phosphorus contained in the phospholipid content of the fat emulsion. The currently recommended allowance of phosphorus for this type of patient appears to be too low and it is suggested that 0-5-0-75 mmol/kg body weight be provided, preferably as a neutral phosphate solution. Sine hypophosphataemia can occur at various time intervals after starting intravenous nutrition and precede clinical sequelae it is recommended that routine serum phosphate measurements are made in all patients receiving this treatment.
7例急性病患者在接受含脂肪乳剂（英脱利匹特，一种可能的磷来源）的静脉营养时发生了低磷血症。作者的观察结果对脂肪乳剂磷脂成分中所含磷的生物利用度提出了质疑。目前针对这类患者推荐的磷摄入量似乎过低，建议提供0.5 - 0.75 mmol/kg体重的磷，最好以中性磷酸盐溶液的形式给予。由于低磷血症可在开始静脉营养后的不同时间间隔出现，并先于临床后遗症发生，因此建议对所有接受这种治疗的患者进行常规血清磷酸盐检测。
