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目的:探讨哈萨克族婴幼儿与汉族婴幼儿相比,高磷血症的原因及与疾病的关系。方法:通过测定血磷、血钙,并检查心肌酶、肝、肾功能等各项指标,评价两族高磷血症的发生原因和对疾病的影响异同。结果:住院哈萨克族婴幼儿241例中发现高磷血症患儿85例(35.3%),低钙血症56例(65.8%),钙磷乘积≥70者23例(27.05%)。钙磷呈负相关,相关系数(γ)=-0.22。心肝肾重要器官损伤者80%;汉族婴幼儿218例中发现高磷血症患儿38例(17.43%),低钙血症20例(52.6%),钙磷乘积≥70者7例(18.42%)。钙磷呈负相关,相关系数(γ)=-0.22。心肝肾重要器官损伤者占76.31%;结论:哈萨克族婴幼儿与汉族婴幼儿相比其高磷血症可能与饮食类型及饮食习惯有关;在疾病状态下的高磷血症主要是由于低血钙引起,内源性磷转移也是其中原因之一。
Objective: To investigate the causes of hyperphosphatemia in infants and toddlers in Kazak and Han nationality infants and their relationship with diseases. Methods: Through the determination of serum phosphorus, serum calcium, and check myocardial enzymes, liver and kidney function and other indicators to evaluate the causes of the two groups of hyperphosphatemia and the impact on disease similarities and differences. Results: There were 85 cases (35.3%) with hyperphosphatemia, 56 cases (65.8%) with hypocalcemia and 23 cases (27.05%) with calcium-phosphorus product ≥70 in 241 infants and young children in hospitalized Kazakh. Calcium and phosphorus were negatively correlated, the correlation coefficient (γ) = -0.22. Eighty-two percent of the infants in Han nationality were found in 218 infants with hyperphosphatemia, twenty cases (52.6%) of hypocalcemia, seven cases of calcium-phosphorus product≥70 18.42%). Calcium and phosphorus were negatively correlated, the correlation coefficient (γ) = -0.22. 76.31% of the major organ damage in heart, liver and kidney. CONCLUSIONS: Compared with infants in Han nationality, infantile hyperkalemia may be related to diet type and eating habits. Hyperphosphatemia in the disease state is mainly due to low Calcium-induced, endogenous phosphorus transfer is one of the reasons.