Hunter M F, Ashton M R, Griffiths D M, Ilangovan P, Roberts J P, Walker V
Department of Child Health, Southampton General Hospital.
Arch Dis Child. 1993 Feb;68(2):233-4. doi: 10.1136/adc.68.2.233.
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.
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。