Calcium is the main mineral element in the body with 99% found in bony tissue. It affects the permeability of cellular membranes, the activation or inhibition of enzymes, muscular contraction, neuronal excitability, hemostasis, etc. The maintenance of blood-calcium concentration is by glomerular filtration, renal tubular reabsorption, digestive absorption and osscous metabolism. Total blood calcium is routinely measured. However only ionised calcium is biologically active. Blood-protein and -albumin concentrations must be taken into account to measure the true blood-calcium concentration. True hypocalcaemia appears essentially as a neuromuscular disturbance. Ancillary tests are used to determine the cause. The usual treatment is correct administration of calcium. Administration too rapidly or excessively can aggravate the disorder.
机构:
Univ Michigan, Dept Otolaryngol, Kresge Hearing Res Inst, Sch Med, Ann Arbor, MI 48109 USAUniv Michigan, Dept Otolaryngol, Kresge Hearing Res Inst, Sch Med, Ann Arbor, MI 48109 USA
Talaska, Andra E.
Schacht, Jochen
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Univ Michigan, Dept Otolaryngol, Kresge Hearing Res Inst, Sch Med, Ann Arbor, MI 48109 USAUniv Michigan, Dept Otolaryngol, Kresge Hearing Res Inst, Sch Med, Ann Arbor, MI 48109 USA