Hermans C, Lefebvre C, Devogelaer J P, Lambert M
Division of General Internal Medicine, Cliniques Universitaires St. Luc, University of Louvain Medical School, Brussels, Belgium.
Clin Rheumatol. 1996 Mar;15(2):193-6. doi: 10.1007/BF02230340.
The authors report the observation of an alcoholic patient admitted for tetanic manifestations, in whom severe hypocalcaemia associated with hyperphosphatemia were suggestive of hypoparathyroidism. Administration of magnesium supplementation alone improved the clinical features and led to the correction of the calcium abnormalities. The mechanisms of hypomagnesemia in alcohol intoxication are reviewed as well as the links with hypocalcaemia.
作者报告了一例因破伤风表现入院的酒精性患者,其严重低钙血症伴高磷血症提示甲状旁腺功能减退。单独补充镁改善了临床症状并纠正了钙异常。本文综述了酒精中毒时低镁血症的机制以及与低钙血症的关联。