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Home > West Medicine > Internal Medicine > Nutrition
E83.401

Hypomagnesemia

营养科

Common symptoms

昏迷、无力、面部叩击征、猝死、眩晕、惊厥

The pathology of disease

Hypomagnesemia is serum magnesium below ~0.7 mmol/L. Clinical: neuromuscular irritability (tetany, Chvostek/Trousseau signs, tremor, seizures), arrhythmias (torsades), and refractory hypokalemia/hypocalcemia. Causes: diuretics, GI loss (diarrhea/fistula), alcoholism, malnutrition, renal magnesium-wasting, and proton-pump inhibitors. Treatment: magnesium repletion (oral/IV), treat underlying cause.

Common Symptoms

Tetany; tremor; seizures; arrhythmia; weakness; refractory hypokalemia/hypocalcemia

Causes and Pathogenesis

GI/renal magnesium loss or poor intake lowers serum Mg, impairing neuromuscular/excitability and PTH release, causing concurrent hypokalemia/hypocalcemia.

Treatment

Oral/IV magnesium repletion; treat underlying cause; monitor ECG/electrolytes

Preventive Measures

Monitor Mg on diuretics/PPIs; treat alcoholism; replete in refeeding.

Department to Visit

It is recommended to visit the Internal Medicine department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.