论文部分内容阅读
消化系疾病常因呕吐、腹泻、纳差引起严重的水、电解质和酸碱平衡的紊乱。但在临床上,由于人们往往只注意到原发病和钾、钙、钠、氯离子的失调,而由此产生的低镁血症却常被忽视。我院外科自1977年至1981年,共收治3例因消化系疾病所致的低镁血症,均为成年女性。3例分别是结核性腹膜炎并发不全肠梗阻,肠伤寒、肠穿孔回肠造瘘术后,12指肠球部溃疡穿孔修补术后并早期粘连不全肠梗阻。3例入院前均有纳差的病史,入院后禁食水,胃肠减压时间较长,静脉滴注不含镁液,分别在入院后12天、18天、20天出现低镁血症的表现。经6天静脉滴硫酸镁40余克,低镁血症得到纠正,现结合病历浅谈诊治的体会。
Digestive diseases often vomiting, diarrhea, anorexia caused serious water, electrolyte and acid-base balance disorders. However, clinically, hypomagnesemia is often neglected because people often only notice the primary disease and the imbalance of potassium, calcium, sodium and chloride ions. Surgery in our hospital from 1977 to 1981, were treated 3 cases of hypomagnesemia due to digestive diseases, are adult women. 3 cases were tuberculous peritonitis complicated with intestinal obstruction, enteritis, intestinal perforation after ileostomy, 12, duodenal ulcer perforation repair and early adhesion insufficiency intestinal obstruction. Before admission, 3 patients had anorexia history, fasting water after admission, gastrointestinal decompression longer, intravenous infusion of magnesium solution, respectively, 12 days after admission, 18 days, 20 days of hypomagnesemia Performance. After six days of intravenous dripping more than 40 grams of magnesium sulfate, hypomagnesemia was corrected, now combined with medical records on the diagnosis and treatment experience.