作为低血症纠正的并发症的奥斯莫斯脱化:系统性审查
Ananda Pires Bastos1, Paulo Novis Rocha1
1Universidade Federal da Bahia, Salvador, BA, Brazil.
Jornal brasileiro de nefrologia
|July 31, 2023
概括
严重的低血症的快速纠正可能会导致透性脱髓化. 即使校正低于10mEq/L/day,也发生了脱髓化,这表明高风险患者需要更低的目标.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 神经学 神经学
- 内部医学 内部医学
背景情况:
- 透性脱髓化综合征 (ODS) 是快速降血调整的风险.
- 目前的指导方针建议将校正限制在10mEq/L/day.
- 本研究评估了ODS案例,以评估指南的充分性.
结论:
- 即使正确率<10 mEq/L/day (10.4%的病例),ODS也可能发生.
- 对于高风险患者,建议保持保守的校正目标 (4-6mEq/L/天,不超过8mEq/L/天).
- 目前的指导方针可能不能为所有患者提供足够的保护.
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