[Severe hypophosphatemia and grave head trauma].
The authors report the case of an 18-year-old man with polytrauma, who died at the third day of its accident from brain death and who presented during his stay in the intensive care unit, a deep hypophosphatemia. Two physiopathologic mechanisms were presumed: increase of renal losses and intracellular transfer of phosphorus. Consequences, as well as the indications and the therapeutic modalities of hypophosphatemia are discussed.
Service d'anesthésie-réanimation chirurgicale, hôpitaux universitaires de Strasbourg, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France. helms.olivier@wanadoo.fr
O
O
Helms
G
G
Freys
T
T
Pottecher
D000293:Adolescent; D006259:Craniocerebral Trauma / Q000097:blood / Q000150:complications*; D017809:Fatal Outcome; D006801:Humans; D017674:Hypophosphatemia / Q000097:blood / Q000209:etiology*; D007668:Kidney / Q000378:metabolism; D008297:Male; D009104:Multiple Trauma / Q000097:blood; D009638:Norepinephrine / Q000097:blood; D010758:Phosphorus / Q000378:metabolism
D010758:Phosphorus; D009638:Norepinephrine