摘要
目的 探讨肝硬化患者血清钙水平及肝功能的关系。方法 235 例肝硬化患者,按 Child Pugh分级标准为A、B、C三级;对照组41例,两组受检查均清晨空腹静脉抽血,测定血钙。结果 肝硬化患者低钙血症发生率高于正常人;血钙水平与肝功能损害程度有关,随肝功能Child pugh分级而逐级下降,与肝硬化的并发症有关,与肝硬化的病因无关。结论 肝硬化患者低钙血症发生率高于正常人,其发生与肝功能损害有关,肝功能损害愈重,并发症愈多,血钙愈低。血钙浓度可作为判断肝硬化患者肝功能损害程度的指标之一。
Objective To study the relationship between the level of serum calcium and hepatic function in patients with liver cirrhosis.Methods 235 cases with liver cirrhosis were graded as A,B and C according to Child-Pugh standard.41 normal cases were served as control group.Early morning before breakfast,venous blood samples were collected from both groups to measure the level of serum calcium.Results This study showed that the level of serum calcium in patients with liver cirrhosis was lower than that in the control group.The level of serum calcium was related to the impaired hepatic function,and also to the complication of liver cirrhosis.The level of serum calcium was not related to the cause of the disease.Conclusion The incidence of hypocalcemia in patients with liver cirrhosis was higher than that in normal control.Hypocalcemia caused by liver cirrhosis correlated with impaired hepatic function.Hypocalcemia was positively related to the impaired hepatic function and the development of complication.The level of serum calcium can be considered as a marker of impaired hepatic function in patients with liver cirrhosis.
出处
《同济大学学报（医学版）》
CAS
2004年第3期209-211,共3页
Journal of Tongji University(Medical Science)
关键词
肝硬化
低钙血症
临床研究
liver cirrhosis
hypocalcemia
clinical study
