This is therefore called false hypocalcemia or pseudohypocalcemia, since there's less overall calcium due to less bound calcium, but the free ionized calcium levels are still the same.

这就被称作假性低钙血症，因为总钙减少是因为结合钙减少，但游离钙水平仍然不变。

Also, any condition that results in hypoalbuminemia or low albumin levels, would lead to a loss of bound calcium, while at the same time free ionized calcium concentrations stay essentially the same due to hormonal regulation.

此外，任何可能导致低白蛋白血症，即白蛋白水平低下的情况，也会导致结合钙的减少；同时，游离钙的浓度因为激素的调控基本保持不变。

More COO- groups tend to make albumin negatively charged, and since calcium is positively charged, opposites attract, and the negatively charged albumin latches onto calcium, which means there's more bound calcium and less free-ionized calcium in the blood.

更多的COO-基团倾向于使白蛋白带负电，由于钙离子带正电，正负电相吸，带负电荷的白蛋白被锁定在钙离子上，这意味着血液中的结合钙离子含量较高 ，而游离钙离子含量较低。