Löhlein D, Rumpf K D
Zentralbl Chir. 1978;103(6):336-40.
Behaviour of serum phosphorus and phosphate-excretion in urine has been observed during the postoperative period in 40 patients who obtained different amounts of phosphate-substitution. The findings were compared with 8 patients who had a phosphate-depletion syndrome. It was shown, that the appearance of hypophosphataemia during the postoperative period can be prevented by a daily supply of at least 25 mmol phosphate. If a phosphoate depletion syndrome has occurred, the substitution of 40 to 50 mmol phosphate and simultaneous reduction of caloric supply is recommended. Furthermore, routine control of serum phosphorus level and, if necessary, measurement of phosphate excretion in urine should be performed in any type of postoperative parenteral nutrition.
对40例接受不同剂量磷替代治疗的患者术后血清磷水平及尿磷排泄情况进行了观察。将结果与8例患有磷缺乏综合征的患者进行了比较。结果表明，术后每日至少补充25 mmol磷可预防低磷血症的出现。如果已经发生磷缺乏综合征，建议补充40至50 mmol磷并同时减少热量供应。此外，在任何类型的术后肠外营养中，都应常规监测血清磷水平，必要时测定尿磷排泄情况。
