18例腹部外科重危病人低磷血症的临床研究  

CLINICAL STUDY OF HYPOPHOSPHATEMIA IN CRITICAL PATIENTS IN ABDOMINAL SURGERY

作　　者：吴力群[1] 杨金镛[1] 崔自介[1] 王士珍[2] 

机构地区：[1]青岛医学院附属医院普外科,266003 [2]青岛医学院附属医院检验科,266003

出　　处：《中国普通外科杂志》1993年第3期151-153,191,共4页China Journal of General Surgery

摘　　要：本文对18例并发低磷血症的腹部外科重危病人进行回顾性分析,发现腹部严重感染、各种消化道瘘致胃肠道液体大量丢失是引起低磷血症的常见原因。且后者更易导致重症低磷血症。肌无力、肌肉疼痛、低氧血症、感染异常、恐惧感、轻度黄疸、合并感染或原有的感染难以控制等是重症低磷血症的主要临床表现。作者认为该症的早期诊断关键在于充分认识其发病原因和临床表现、及时定期监测血磷浓度的变化。A review analysis of 18 cases with hypophosphatemia in critical patients in abdominal surgery was reported. Results showed that the common causes of hypophosphatemia were severe abdoiminal sepsis, and a loss of large amount of gastrointestinal fistula. The latter may be more likely to cause severe hypophosphatemia. Muscular weakness, anoxia, paresthesias, apprehension, a light jaundice and secondary sepsis or difficulty in controlling original sepsis were the main clinical manifestations. The authors believe the key to early diagnosis is recognizing fully the cause and clinical manifestations of hypophosphatemia and checking up the level of serum phosphate regularly.

关 键 词：低磷血症 诊断 治疗 

分 类 号：R6[医药卫生—外科学]