外科患者术后血磷浓度变化的临床观察  

Clinical observation and study of blood phosphate con-centratlon change of postoperative patients

作　　者：陈丽莉[1] 吴树强[1] 

机构地区：[1]上海医科大学附属华山医院外科教研室

出　　处：《中华外科杂志》1995年第5期276-278,共3页Chinese Journal of Surgery

摘　　要：作者用钥兰显色法检测２５７例外科术后重症监护患者的血磷浓度。结果有１３６例血磷浓度＜０．８ｍｍｏｌ／Ｌ称为低磷血症，发生率为５２．９％。低磷血症的发生与患者年龄、原发疾病以及术后静脉输注高渗葡萄糖溶液有关，同时可合并低血钙（８３．１％）、低血钠（７６．４％）、低血钾（３７．５％）等。并且与脏器功能的受损或衰竭有关。本组４０例死亡患者中，低磷血症的有３１例（７７．５％）。作者认为要提高外科危重患者的治愈率，低磷血症的及时诊断和积极预防治疗是十分重要的环节。AbstractBlood phosphate concentration of 2 5 7 postopera-tive patients in the ICU was determined through themolybdenum-blue developing method.The resultsshowed that 136 cases had hypophosphatemia(bloodphosphate concentration<0.8mmo1/L), bearing an in-cidence of 52.9%,which indicated that the occurrenceof hypophosphatemia was associated with patients'age,primary disease and postoperative intravenous hy-pertonic glucose solutiOn transfusion。 Meanwhile,theexistance of hypophosphatemia was often complicatedby hypocalcemia(83.1%),hyponatremia(76.4%),and hypokelemia(37.5%), and furthermore, was inconnection with organ dysfunction or failure, Of the 40death cases among all 257, 31 endured hypophos-phatemia(77.5%).Hence, prompt diagnosis and ac-tive prevention and treatment of hypophosphatemia areessential to raise the cure rate of surgical critical pa-tients。

关 键 词：磷酸盐类 低磷血症 外科手术 手术并发症 

分 类 号：R591.1[医药卫生—内科学]