低镁血症的临床特点

• 作 者: 方培生
• 机 构: 江苏吴县人民医院内科,
• 出 处: 中级医刊
• 发表日期: 1988年11期
• 关键词: 低镁血症 肠旁路术 羧苄青霉素 顺氯氨铂 短肠综合征 酒精中毒 结肠肿瘤 高钙血症 吸收不良 临床医师

随着医学科学的进展,对低镁血症的概念有了进一步的认识。但迄今仍未引起临床医师足够的重视,常易误诊。本文复习有关文献整理如下。一、病因临床上,低镁血症的病因可分为4类:①胃肠道:酒精中毒、蛋白质热卡不足,长期静脉疗法(不含镁)、胃吸引、肠旁路术治疗肥胖、腹泻、结肠肿瘤、滥用轻泻剂、短肠综合征和吸收不良;②肾脏:利尿剂,抗生素(如庆大霉素,羧苄青霉素)、顺氯氨铂、高钙血症(包括肿瘤)、梗阻后利尿、急性肾小管

With the progress of medical science, the concept of hypomagnesemia has been further recognized. But so far has not caused enough attention clinicians, often misdiagnosed. This article reviews the literature as follows. First, the etiology Clinically, the etiology of hypomagnesemia can be divided into four categories: ① gastrointestinal tract: alcoholism, lack of protein heat card, long-term intravenous therapy (magnesium-free), stomach, intestinal bypass surgery for obesity, Diarrhea, colon cancer, abuse of laxatives, short bowel syndrome and malabsorption; â ’kidneys: diuretics, antibiotics (such as gentamicin, carbenicillin), cisplatin, hypercalcemia , Post-obstruction diuretic, acute tubular