Aderka D, Shoenfeld Y, Santo M, Berliner S, Shaklai M, Weinberger A, Pinkhas J
Acta Haematol. 1980;64(2):117-9. doi: 10.1159/000207222.
A patient with acute myelogenous leukemia developed severe hypophosphatemia manifesting by extreme weakness, confusion, loss of sphincter control, nuchal rigidity, hyperesthesia, hemolysis, congestive heart failure and liver dysfunction. The possible causes for this condition were starvation, parenteral glucose and saline administration, sepsis, hypokalemia and treatment with acetazolamide. A dramatic improvement was noted following phosphate administration.
一名急性髓性白血病患者出现严重低磷血症,表现为极度虚弱、意识模糊、括约肌控制丧失、颈部强直、感觉过敏、溶血、充血性心力衰竭和肝功能障碍。这种情况的可能原因是饥饿、胃肠外给予葡萄糖和生理盐水、败血症、低钾血症以及使用乙酰唑胺治疗。给予磷酸盐后病情显著改善。