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本文报告2例低磷酸盐血症。例1,58岁,嗜酒妇女,患慢性阻塞性肺疾患,酗酒几天,因癫痫样大发作入院。检查:双肺清晰,反射对称,血清钾2.6毫当量/升,磷3.2毫克%,经静脉滴注葡萄糖、钾盐、抗惊厥药,为了预防胃肠道出血日服氧化镁、氧化铝,住院第3天血磷降至0.9毫克%,翌日呼吸停止,插管人工呼吸抢救,血磷继降至0.5毫克%,静脉滴注磷酸钾60毫当量16小时以上,次日,肌无力明显改善,呼吸恢复,血磷升至1.2毫克%,病情逐渐好转。例2,43岁,嗜酒妇女,因不能活动2天入院,腱反射(-)→(+),肌力明显减弱,血磷0.9毫
This article reports 2 cases of hypophosphatemia. Example 1,58 years old, alcoholic women, suffering from chronic obstructive pulmonary disease, alcoholism a few days, due to epileptic-like episodes admitted. Check: clear lungs, symmetry of reflection, serum potassium 2.6 milliequivalents / liter, phosphorus 3.2 mg%, by intravenous infusion of glucose, potassium salts, anticonvulsants, in order to prevent gastrointestinal bleeding day service magnesia, alumina, hospitalization On the third day, the blood phosphorus was reduced to 0.9 mg%. The day after the respiration stopped and the cannulated artificial respiration was rescued, the phosphorus level was reduced to 0.5 mg%, and the intravenous infusion of potassium phosphate 60 milli equivalents for 16 hours or more. On the next day, the muscle weakness was significantly improved, Respiration, blood phosphorus rose to 1.2 mg%, the condition gradually improved. Example 2,43-year-old women who drink alcohol because they can not move for 2 days admission, tendon reflexes (-) → (+), muscle strength was significantly weakened, phosphorus 0.9