Sunday, October 13, 2013

hypocalcemia(低血鈣症)

症狀/併發症(symptom/complication)
@CNS: seizure.
@cataract白內障
@excitable
@@Tetany: similar as hypomagnesemia or metabolic alkalosis


病因(etiology)
|low concentration of PTH
||Parathyroid hormone resistance: Pseudohypoparathyroidism(假性副甲狀腺功能低下)
|Vit D dysfunction
||1,25(OH)2D deficiency
||1,25(OH)2D resistance
|Acute calcium deposition
||Acute hyperphosphatemia
|||Rhabdomyolysis
|||Tumor lysis
|||Citrate complex due to blood transfusion
|||Saponification due to pancreatitis
|Hypoalbuminemia: Low total calcium, normal free calcium, due to liver dysfunction, not real hypocalcemia-->Corrected Ca = [0.8 x (normal albumin - patient's albumin)] + serum Ca level
檢查/準則(examination/criteria)
#Chvostek’s sign
#Trousseau’s sign
資料來源:biology-forums
治療(treatment)
$Intra-venous calcium infusion 400 – 1000 mg/24hr for spasm phase
$oral calcium intake during stable: 2000mg/day
$Preparation for vitamin D
$Protect air way and be alert to spasm
$Intra-venous calcium infusion in emergeny
鑑別診斷(Differential Diagnosis)

流行病學(Epidemiology)


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