Lee J L, Sibbald W J, Holliday R L, Linton A L
Can Med Assoc J. 1978 Jul 22;119(2):143-5.
In three cases of severe hypophosphatemia profound coma was associated. Although the occurrence of hypophosphatemia appeared to coincide with a high rate of intravenous administration of glucose and water, two of the three patients had liver disease and the other had hypothermia. In two instances the neurologic status improved with intravenous phosphate therapy. These case reports emphasize the importance of early recognition and treatment of profound hypophosphatemia in critically ill patients.
在3例严重低磷血症患者中,均伴有深度昏迷。虽然低磷血症的发生似乎与高剂量静脉输注葡萄糖和水同时出现,但3例患者中有2例患有肝脏疾病,另1例患有体温过低。在2例患者中,静脉输注磷酸盐治疗后神经状态有所改善。这些病例报告强调了在危重症患者中早期识别和治疗严重低磷血症的重要性。