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与昏迷相关的低磷血症。

Hypophosphatemia associated with coma.

作者信息

Lee J L, Sibbald W J, Holliday R L, Linton A L

出版信息

Can Med Assoc J. 1978 Jul 22;119(2):143-5.

PMID:679114
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1818065/
Abstract

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.

摘要

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。

相似文献

1
Hypophosphatemia associated with coma.与昏迷相关的低磷血症。
Can Med Assoc J. 1978 Jul 22;119(2):143-5.
2
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Zhonghua Wai Ke Za Zhi. 1995 May;33(5):276-8.
3
Hypophosphatemia associated coma following treatment of diabetic coma.糖尿病昏迷治疗后出现的低磷血症相关性昏迷。
J Kans Med Soc. 1979 Jul;80(7):419.
4
Postoperative and glucose-induced hypophosphatemia in relation to adenosine triphosphate and 2,3-diphosphoglycerate in erythrocytes.术后及葡萄糖诱导的低磷血症与红细胞中三磷酸腺苷和2,3-二磷酸甘油酸的关系
Acta Chir Scand. 1989 Feb;155(2):81-7.
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[Severe hypophosphatemia and coma with neurologic focus in an infant].[一名婴儿出现严重低磷血症并伴有神经系统定位体征的昏迷]
An Esp Pediatr. 1988 Apr;28(4):371-2.
6
Paresthesias, weakness, seizures, and hypophosphatemia in patients receiving hyperalimentation.接受胃肠外营养的患者出现感觉异常、虚弱、癫痫发作和低磷血症。
Gastroenterology. 1972 Apr;62(4):513-20.
7
[Severe hypophosphatemia and coma in a critically ill patient].[一名重症患者的严重低磷血症与昏迷]
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9
[Hypophosphatemia in the hospitalized patient].[住院患者的低磷血症]
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Myxedema coma.黏液性水肿昏迷
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引用本文的文献

1
Hypophosphataemia: an important cause of collapse.低磷血症:虚脱的一个重要原因。
BMJ Case Rep. 2018 Jul 18;2018:bcr-2018-225821. doi: 10.1136/bcr-2018-225821.
2
Hypophosphataemia as a cause of acute confusional state.低磷血症作为急性意识模糊状态的一个病因。
BMJ Case Rep. 2012 Oct 6;2012:bcr2012006960. doi: 10.1136/bcr-2012-006960.
3
Neurologic signs and hypophosphatemia with total parenteral nutrition.全胃肠外营养相关的神经体征与低磷血症
Can Med Assoc J. 1981 Sep 15;125(6):604-7.
4
A clinical approach to common electrolyte problems: 3. Hypophosphatemia.常见电解质问题的临床处理方法:3. 低磷血症。
Can Med Assoc J. 1984 Jan 1;130(1):17-23.

本文引用的文献

1
Hypophosphataemia and hyperphosphataemia in a hospital population.医院人群中的低磷血症和高磷血症
Br Med J. 1972 Jan 29;1(5795):273-6. doi: 10.1136/bmj.1.5795.273.
2
Hypophosphataemia in septicaemia: higher incidence in gram-negative than in gram-positive infections.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。
Br Med J. 1969 Mar 22;1(5646):753-6. doi: 10.1136/bmj.1.5646.753.
3
Hypophosphatemia in chronic alcoholism.慢性酒精中毒中的低磷血症。
Arch Intern Med. 1974 Sep;134(3):445-7.
4
Paresthesias, weakness, seizures, and hypophosphatemia in patients receiving hyperalimentation.接受胃肠外营养的患者出现感觉异常、虚弱、癫痫发作和低磷血症。
Gastroenterology. 1972 Apr;62(4):513-20.
5
Editorial: Hypoalimentation during hyperalimentation.社论:全胃肠外营养期间的营养不足
N Engl J Med. 1974 Jun 20;290(25):1432-3. doi: 10.1056/NEJM197406202902509.
6
Proximal myopathy caused by latrogenic phosphate depletion.医源性磷酸盐耗竭所致近端肌病
JAMA. 1976 Sep 20;236(12):1380-1.
7
Acute respiratory failure associated with hypophosphatemia.与低磷血症相关的急性呼吸衰竭。
N Engl J Med. 1977 May 12;296(19):1101-3. doi: 10.1056/NEJM197705122961908.
8
Hypophosphataemia and paraesthesias during parenteral nutrition.肠外营养期间的低磷血症和感觉异常。
N Z Med J. 1976 Jun 9;83(565):403-4.
9
Intracellular distribution of phosphate in the underfed rat developing weakness and coma following total parenteral nutrition.全肠外营养后发育迟缓、出现虚弱和昏迷的饥饿大鼠体内磷酸盐的细胞内分布情况。
J Nutr. 1976 Oct;106(10):1398-403. doi: 10.1093/jn/106.10.1398.
10
Hypophosphatemia.低磷血症
Clin Nephrol. 1977 Apr;7(4):131-7.