机构：[1]Department of Respiratory Medicine, PutuoHospital, Shanghai University of Traditional Chinese Medicine, No.164, LanXi Road, Shanghai 200062, China[2]Department of Pediatrics Medicine, Wuhan Third Hospital, China & Tongren Hospital of Wuhan University, Wuhan, Hubei 430000, China
Objective: The aim of the study was to evaluate the significance of hypomagnesemia in patients with coronavirus disease 2019 (COVID-19) and clarify its possible pathogenesis. Subjects and Methods: A retrospective cohort study was conducted by reviewing 83 patients hospitalized in Guanggu district, Wuhan Third Hospital, China. Clinical histories, laboratory findings and outcome data were collected. Results: Eighteen patients had hypomagnesemia during hospitalization. Fourteen patients were in the critical group and six died. In the critical group, serum magnesium (0.72 +/- 0.15 mmol/L) was much lower than that in the moderate and severe groups. At the same time, we also found that several indicators are correlated with the level of magnesium. The level of magnesium was positively associated with the lymphocyte count (r = 0.203, P = 0.004) and platelet count (r = 0.217, P = 0.002) but negatively related to the levels of CRP (r = -0.277, P = 0.000), LDH (r = -0.185, P = 0.011) and alpha-hydroxybutyrate dehydrogenase (r = -0.198, P = 0.008) in the critical group. Conclusion: Hypomagnesemia might increase symptoms and may be associated with mortality in COVID-19 by affecting enzyme activity and activating the inflammatory response. Thus, magnesium might play a key role in the pathogenesis of COVID-19.
基金：
Shanghai Science and Technology
Committee (20ZR1450400) and Specialty Construction
in Putuo District (2020tszk02); LZ has
received grants for scientific work from the Xinglin Xinxing from Chengdu University of
TCM (YYZX2020125).
第一作者机构：[1]Department of Respiratory Medicine, PutuoHospital, Shanghai University of Traditional Chinese Medicine, No.164, LanXi Road, Shanghai 200062, China
共同第一作者：
通讯作者：
推荐引用方式(GB/T 7714)：
Zhu Linyun,Bao Xingxing,Bi Junjie,et al.Serum magnesium in patients with severe acute respiratory syndrome coronavirus 2 from Wuhan, China[J].MAGNESIUM RESEARCH.2021,34(3):103-113.doi:10.1684/mrh.2021.0488.
APA：
Zhu, Linyun,Bao, Xingxing,Bi, Junjie,Lin, Yuhua,Shan, Cuiting...&Wang, Xiongbiao.(2021).Serum magnesium in patients with severe acute respiratory syndrome coronavirus 2 from Wuhan, China.MAGNESIUM RESEARCH,34,(3)
MLA：
Zhu, Linyun,et al."Serum magnesium in patients with severe acute respiratory syndrome coronavirus 2 from Wuhan, China".MAGNESIUM RESEARCH 34..3(2021):103-113
