败血症中的低磷血症：革兰氏阴性菌感染的发病率高于革兰氏阳性菌感染。
Hypophosphataemia in septicaemia: higher incidence in gram-negative than in gram-positive infections.
作者信息
Riedler G F, Scheitlin W A
出版信息
Br Med J. 1969 Mar 22;1(5646):753-6. doi: 10.1136/bmj.1.5646.753.
Abstract
Phosphataemia has been investigated in 54 patients with Gram-negative septicaemias; either absolute (serum phosphate <2 mg./100 ml.) or relative (P./B.U.N. 0.04) hypophosphataemia was found in 69% of all determinations. In 37 patients with Gram-positive septicaemias hypophosphataemia was present in only 24%, many of whom had additional Gram-negative bacteriuria and possible Gram-negative septicaemia suppressed by antibiotics. The mechanism of this phenomenon is not known. This new sign of Gram-negative septicaemia has some diagnostic importance.
摘要
对54例革兰氏阴性败血症患者进行了血磷水平调查；在所有检测中，69%的患者出现了绝对（血清磷<2mg/100ml）或相对（磷/血尿素氮<0.04）低磷血症。在37例革兰氏阳性败血症患者中，只有24%出现低磷血症，其中许多患者还伴有革兰氏阴性菌尿，可能存在被抗生素抑制的革兰氏阴性败血症。这种现象的机制尚不清楚。革兰氏阴性败血症的这一新体征具有一定的诊断意义。
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