一例并发急性低磷血症的呼吸衰竭病例。

A case of respiratory failure complicated by acute hypophosphataemia.

作者信息

Brown E L, Jenkins B A

出版信息

Anaesthesia. 1980 Jan;35(1):42-5. doi: 10.1111/j.1365-2044.1980.tb03718.x.

DOI:10.1111/j.1365-2044.1980.tb03718.x

Abstract

Respiratory failure due to an exacerbation of chronic obstructive airways disease is often seen by clinicians. A case in which respiratory failure was further complicated by acute hypophosphataemia is reported. Replacement phosphate therapy resulted in a dramatic improvement in the clinical condition of the patient. The aetiology of the hypophosphataemia was thought to be a combination of acidosis, and the administration of corticosteroids, 5% dextrose and antacids. It is suggested that hypophosphataemia may account in part for the poor prognosis associated with severe exacerbations of chronic obstructive airways disease.

摘要

临床医生经常会遇到因慢性阻塞性气道疾病加重而导致的呼吸衰竭。本文报告了一例呼吸衰竭并发急性低磷血症的病例。补充磷酸盐治疗使患者的临床状况得到显著改善。低磷血症的病因被认为是酸中毒、皮质类固醇、5%葡萄糖和抗酸剂共同作用的结果。提示低磷血症可能是慢性阻塞性气道疾病严重加重预后不良的部分原因。