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1
題名:PERFECT STORM OF LIFE-THREATENING HYPOCALCEMIA IN A SEVERE TRAUMA PATIENT     (10點)
病例報告:“完美風暴”之嚴重創傷患者產生危及生命的低血鈣症
著者:Fan-Min Lin(林凡閔) ;He-Cheng Lin(林和正) ;I-Hung Chen(陳逸鴻) ;Ming-Kai Tsai(蔡明凱) ;Jeng-Chuan Shiang(項正川) ;Chih-Chiang Wang(王志強)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:嚴重低血鈣症 ; 創傷 ; 心律不整 ; Severe hypocalcemia ; Trauma injury ; Cardiac arrhythmia
刊名:Taiwan Critical Care Medicine
卷期:13卷4期(2012.7)
頁碼:203-207
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

低鈣血症患者臨床表現,可能僅為無症狀的生化數值異常變化,乃至嚴重者危及生命,取決於低血鈣產生的速度及嚴重程度而有所差異。我們常在住院病人身上發現低血鈣的情況,但很少見到在極短時間之內產生迅速變化的低血鈣患者。本案例報告描述一位經車禍創傷的病人,在住院期間短時間內,因各種加重因素:創傷、橫紋肌溶解、高血磷症、急性腎損傷、大量輸血以及利尿劑的使用,最終導致產生“完美風暴”的嚴重低血鈣表現。急性低血鈣可能導致危及生命的併發症,如頑固性低血壓,心律不整,需要迅速矯正處理。因此,對於處置嚴重創傷病人應仔細觀察臨床症狀表現和密切監測血鈣的變化。
The presentations of patients with hypocalcemia varies from an asymptomatic biochemical abnormality to a life-threatening disorder, depending on the severity, duration, and rapidity of development. Hypocalcemia was frequently found in hospitalized patient, but severe low level with life-threatening manifestation in a short period of time rarely occurred. Herein, we reported a trauma patient with "Perfect Storm" scenario of severe hypocalcemia development. Multiple factors contributed to severe hypocalcaemia, included trauma injury with rhabdomyolysis, hyperphosphatemia, acute renal failure, and blood transfusion. Acute hypocalcemia can result in life-threatening complications such as refractory hypotension and cardiac arrhythmia that need rapid correction. Therefore, carefully observation of the clinical signs and monitoring calcium level is suggested in trauma patients.


    

本卷期目次
Taiwan Critical Care Medicine 13卷4期 (2012.7)
Kao-Chang Lin|Chong-Jeh Lo|Che-Chuan Wang|Chung-Ching Chio|Jinn-Rung Kuo/ PREDICTIVE VALUE IN RECEIVING EARLY UNILATERAL DECOMPRESSIVE CRANIECTOMY OR CRANIOTOMY IN TRAUMATIC BRAIN INJURY PATIENTS
酒精性肝硬化患者行活體肝臟移植術後加護病房瞻妄之危險因子分析/ 王思涵謝佳恩王俊毅林惠娟林麗絲陳堯俐
經口氣管插管於口咽及吞嚥功能的影響/ 蔡旻璇吳國湘蘇涵陳佳慧
一例重度胎便吸入新生兒之呼吸治療經驗/ 連麗媛杜美蓮駱健黃馨瑩林孟志
ESOPHAGEAL MILK CURD IN AN ADULT: A RARE CAUSE OF SUSTAINED PNEUMONIA/ Wei-Fan HsuChen-Shuan ChungYeong-Long HsuHou-Tai Chang
PERFECT STORM OF LIFE-THREATENING HYPOCALCEMIA IN A SEVERE TRAUMA PATIENT/ Fan-Min LinHe-Cheng LinI-Hung ChenMing-Kai TsaiJeng-Chuan ShiangChih-Chiang Wang
 
   
 
   

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