Concrete structures suffering from Mg
2+ environments may suffer severe damage, which mainly has something to do with the coupled effect among Cl
−, SO
42−, and Mg
2+. Based on a systematic review of Web of Science and
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Concrete structures suffering from Mg
2+ environments may suffer severe damage, which mainly has something to do with the coupled effect among Cl
−, SO
42−, and Mg
2+. Based on a systematic review of Web of Science and Scopus database (2000–2025), we first summarized the migration behavior, reaction paths, and interaction mechanism of Cl
−, SO
42−, and Mg
2+ in cementitious matrices. Secondly, from the perspective of Cl
− cyclic adsorption–desorption breaking the passivation film of steel bars, SO
42− generating expansion products leads to crack expansion, then Mg
2+ decalcifies C-S-H and transforms into M-S-H; we analyzed the main damage mechanisms, respectively. In addition, under the coexistence conditions of three kinds of ions, the “fixation–substitution–redissolution” process and “crack–transport” coupling positive feedback mechanism further increase the development rate of damage. Then, some anti-corrosion measures, such as mineral admixtures, functional chemical admixtures, fiber reinforcements, surface coatings, and new binder systems, are summarized, and the pros and cons of different anti-corrosion technologies are compared and evaluated. Lastly, from two aspects of simulation prediction for the coupled corrosion damage mechanism and service life prediction, respectively, we have critically evaluated the advances and problems existing in the current research on the aspects of ion migration-reaction coupled models, multi-physics coupled frameworks, phase-field methods, etc. We found that there is still much work to be conducted in three respects: deepening mechanism understanding, improving prediction precision, and strengthening the connection between laboratory test results and actual projects, so as to provide theoretical basis and technical support for the durability design and anti-corrosion strategies of concrete in complex Mg
2+ environments.
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