一个患有不适当抗尿激素分泌综合征 (SIADH) 患者的昏迷和布鲁加达式心电图图案
Muhammad Azhar Rosyidi1, Valerinna Yogibuana1, Ardian Rizal1
1Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Saiful Anwar General Hospital, Malang, Indonesia.
概括
在SIADH患者中,严重的低血会导致昏迷和布鲁加达式的心电图图案. 纠正水平可以解决这些症状和心电图异常,特别是在排除心脏原因后.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學.
- 内部医学 内部医学
背景情况:
- 昏迷是由于大脑血流减少而暂时失去意识的情况.
- 患有不适当抗尿激素分泌综合征 (SIADH) 的患者心电图上的布鲁加达模式可能表明心脏问题.
- 昏迷的诊断评估包括病史,体检,实验室测试和心电图.
研究的目的:
- 为了研究SIADH中严重的低血压和与布鲁加达类心电图模式的昏迷之间的关系.
- 为了确定纠正低血症是否能缓解昏迷并使心电图发现正常化.
主要方法:
- 一个69岁的男性患有高血压,吸烟史和昏迷的案例研究.
- 诊断SIADH证实通过低血量 (118 mmol/l),高度,和evolemia.
- 脑电图显示布鲁加达模式;进行了24小时的霍尔特和冠状动脉血管学.
- 治疗包括对低血的纠正.
主要成果:
- 患者出现了昏迷和布鲁加达心电图图案.
- 没有发现心室节律失常或冠状动脉异常.
- 纠正低血导致ST升高的正常化和布鲁加达心电图模式的消失.
- 在正常化后的三个月随访中,患者仍然没有昏迷.
结论:
- 在SIADH中严重的低血压会导致昏迷和布鲁加达式的心电图图案.
- 在老年患者中,必须排除心脏原因,以昏迷和布鲁加达式心电图.
- 纠正低血是有效的管理昏迷和正常化布鲁加达式心电图模式在SIADH患者当心脏原因被排除在外.
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