Calcium metabolism in crush syndrome patients.
スポンサーリンク
概要
- 論文の詳細を見る
Objective; To clarify calcium metabolism in crush syndrome patients. Material & Method; Minimum serum calcium levels in acute phase (3 days from injury) were analyzed in 66 crush syndrome patients caused by the Hanshin-Awaji earthquake. Thirty patients with blood purification and thirty-four patients without blood purification were compared. Relationship between the minimum serum calcium level and peak serum creatinine kinase (CK) was also analyzed in 41 patients. Serial changes of serum calcium and serum phosphorus were analyzed in 14 crush syndrome patients transferred to Osaka University Hospital. Intact parathyroid hormone (Intact PTH) was measured in 7 cases. Results; The minimum serum calcium level was 7.24±1.37mg/dl (reference range, 8.4-10.0mg/dl) in 66 crush syndrome patients. In comparing the patients with blood purification to those without blood purification, the minimum serum calcium level was significantly lower in the patients with blood purification (6.37±1.37mg/dl vs 7.86±1.06mg/dl). There was significantly negative correlation between minimum serum calcium levels and peak serum CPK (y=8.58-2.04×10-5x, r=0.81). Prolonged hypocalcemia was observed for 8 to 50 days. Serum phosphorus level did not affect the severity of injury nor the duration of hypocalcemia. Intact PTH responded well to hypocalcemia. Conclusions; Hypocalcemia was highly associated with the amount of damaged muscle but not with renal insufficiency in crush syndrome patients.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
- Emergency Endovascular Repair for a Ruptured Abdominal Aortic Aneurysm Patient
- Degree of injury severity of the traffic accident autopsy cases.
- タイトル無し
- The Effect of Antithrombin III on Cytokine Production in Endotoxemic Rats.
- Antithrombin III Effects on the Production of Vasoactive Substances in Endotoxemic Rats.