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儿童灌肠后高磷血症:预防与治疗

Hyperphosphataemia after enemas in childhood: prevention and treatment.

作者信息

Hunter M F, Ashton M R, Griffiths D M, Ilangovan P, Roberts J P, Walker V

机构信息

Department of Child Health, Southampton General Hospital.

出版信息

Arch Dis Child. 1993 Feb;68(2):233-4. doi: 10.1136/adc.68.2.233.

DOI:10.1136/adc.68.2.233
PMID:8481047
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1029243/
Abstract

The case of a child with severe hyperphosphataemia and symptomatic hypocalcaemia secondary to retention of phosphate administered through an antegrade continence enema is reported. Caution should be exercised with the use of phosphate enemas and prompt action taken to remedy retention. The use of glucose with insulin in the emergency management of acute hyperphosphataemia is discussed.

摘要

报告了一例因通过顺行性节制灌肠给予的磷酸盐潴留继发严重高磷血症和症状性低钙血症的儿童病例。使用磷酸盐灌肠剂时应谨慎,并应迅速采取措施纠正潴留。讨论了葡萄糖加胰岛素在急性高磷血症紧急处理中的应用。

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Hyperphosphataemia after enemas in childhood: prevention and treatment.儿童灌肠后高磷血症:预防与治疗
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本文引用的文献

1
Rectal necrosis after a phosphate enema.磷酸盐灌肠后直肠坏死。
Age Ageing. 1987 Sep;16(5):328-30. doi: 10.1093/ageing/16.5.328.
2
Fatal poisoning from sodium phosphate enema. Case report and experimental study.磷酸钠灌肠剂导致的致命中毒。病例报告与实验研究。
JAMA. 1987 Apr 24;257(16):2190-2.
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Colonic perforation with a phosphate enema.结肠穿孔伴磷酸盐灌肠剂使用。
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BMJ. 1990 Feb 24;300(6723):541. doi: 10.1136/bmj.300.6723.541-a.
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Phosphate enemas in childhood: cause for concern.儿童时期的磷酸盐灌肠剂:令人担忧的原因。
BMJ. 1991 May 4;302(6784):1074. doi: 10.1136/bmj.302.6784.1074.
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Preliminary report: the antegrade continence enema.
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Hypocalcemia, hyperphosphatemia, and dehydration following a single hypertonic phosphate enema.单次高渗磷酸盐灌肠后出现低钙血症、高磷血症和脱水。
J Pediatr. 1977 Mar;90(3):484-5. doi: 10.1016/s0022-3476(77)80723-3.
8
Hypokalemia after hypertonic phosphate enemas.高渗磷酸盐灌肠剂后的低钾血症。
J Pediatr. 1979 Jan;94(1):149-51. doi: 10.1016/s0022-3476(79)80383-2.
9
Effects of insulin infusion on plasma phosphate in diabetic patients.
Metabolism. 1979 Mar;28(3):191-4. doi: 10.1016/0026-0495(79)90063-5.