Weisinger J R, Bellorín-Font E
Department of Medicine, Universidad Central de Venezuela, Hospital Universitario de Caracas.
Lancet. 1998 Aug 1;352(9125):391-6. doi: 10.1016/S0140-6736(97)10535-9.
A summary of new findings regarding alterations of magnesium (Mg2+) and phosphorus (P) metabolism are reviewed for the clinician caring for patients in general wards. Alterations in serum concentrations of Mg2+ and P are frequently observed in acute or very ill patients in emergency rooms or intensive-care areas. A significant proportion of these alterations are iatrogenic. Most of the symptoms related are non-specific, and usually they are associated with changes in concentration of other ions. The need to measure Mg2+ and P routinely and to define better the real abnormal values is stressed. Correction of the abnormalities must be early in the course of the alterations.
现将有关镁(Mg2+)和磷(P)代谢改变的新发现总结如下,供普通病房照顾患者的临床医生参考。在急诊室或重症监护区的急性病患者或危重症患者中,经常观察到血清中Mg2+和P浓度的改变。这些改变中有很大一部分是医源性的。大多数相关症状是非特异性的,通常与其他离子浓度的变化有关。强调了常规测量Mg2+和P以及更好地界定真正异常值的必要性。必须在改变过程的早期纠正异常情况。