危急病患者的不运动性高血症:病例系列
Muhamad S Aljeaidi1,2, Robert Palmer2, Matthew H Anstey1,2,3
1Medical School, The University of Western Australia, Perth, AUS.
Cureus
|September 8, 2023
概括
不移动性高血是重症监护室 (ICU) 患者的不常见并发症. 这一案例系列表明,帕米德罗纳酸有效地治疗了ICU幸存者的不移性高血症.
科学领域:
- 密集护理医学 密集护理医学
- 内分泌学 在内分泌学.
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 显著的高血是重症监护室 (ICU) 患者的已知并发症.
- 在ICU入院后,不动化的高血症很少被报告,需要广泛的治疗来排除其他原因.
- 超血的常见原因包括甲状腺功能障碍症和恶性瘤.
研究的目的:
- 报告ICU入院后患有不移性高血症的患者病例系列.
- 评估帕米德罗纳特在治疗该患者群体不移性高血症的疗效.
- 为了突出一种不常见但可治疗的高血病的原因,在重症患者.
主要方法:
- 2019年至2023年期间被诊断患有不移性高血症的5名患者的病例系列.
- 患者被评估高血的常见原因,包括副甲状腺激素水平和恶性瘤.
- 治疗涉及帕米德罗纳特 (30毫克剂量) 在超血症鉴定后10至60天开始.
主要成果:
- 大多数病例呈现出因不动化的高血症,其特征是副甲状腺激素水平低至正常.
- 在这些患者中,没有发现恶性瘤或其他导致高血的因子.
- 在所有报告的病例中,一到两剂30毫克帕米德罗酸盐成功地解决了高血症.
结论:
- 免疫性高血是ICU入院后患者的一种不常见的并发症.
- 在这种情况下,帕米德罗纳酸是对不移性高血症的有效治疗方法.
- 早期识别和治疗可以解决高血症,防止进一步的并发症.
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