慢性肝炎血清钙变化的临床探讨  

THE CLINICAL ASPECT OF SERUM CALCIUM CHANGES IN CHRONIC VIRAL HEPATITIS

作　　者：张行[1] 汪恩泳 王骥[1] 郭松泉 

机构地区：[1]徐州市传染病医院内科,221004

出　　处：《徐州医学院学报》1993年第3期201-203,共3页Acta Academiae Medicinae Xuzhou

摘　　要：作者对2821名病情较重的慢性病毒性肝炎的住院患者进行了常规血清钙检测,低血钙发生率为87.7％;慢重肝及肝硬化低血钙发生率较高,分别为100％及88.7％;其死亡恶化比率分别为66.9％及11.6％;与慢迁肝及慢活肝的数值相比较差异非常显著(P<0.01～0.001)。血钙随病情好转或恶化而升高或降低,其变化可做为预后的一项指标。纠正低血钙有利于患者康复,为一重要的治疗措施。Routine serum calcium examination was made in 2821 hospitalized patients who were suffering from moderate to advanced chronic viral hepatitis between 1986-1991. The incidence of hypocalcemia was 87.7%. The inc-edences in CSVH and PHLC were 100'% and 88.7% respectively, which were significantly higher than those in CPU and CAH ( P < 0.01 and 0.001 ) . The rate of death and deteraorition was 66.8% in CSVH and 11.6 % in PHLC, but there was no death in GPH and CAH. It was noticed that the level of serum calcium varied with the changing status of the disease, rising with improvement and dropping with deterioration . Hence serum calcium can be a prognostic index. And rectiffcation of hypocalcemia is important in managing the patient.

关 键 词：病毒性肝炎 血清 钙 预后 

分 类 号：R512.605[医药卫生—内科学]