一个电解质干扰伪装成恐慌发作
Anne Wildermuth1, Meagan Lantz, Erin Sagers
1Anne Wildermuth is an assistant professor in the School of Medicine at the Uniformed Services University in Bethesda, Md., and practices in emergency medicine with MedStar Emergency Physicians in Clinton, Md. At the time this article was written, Meagan Lantz and Erin Sagers were students in the PA program at the George Washington University in Washington, D.C. Ms. Lantz now practices in cardiothoracic surgery at Stanford Health Care in Palo Alto, Calif. Ms. Sagers now practices in orthopedics at EmergeOrtho Coastal Region in Wilmington, N.C. The authors have disclosed no potential conflicts of interest, financial or otherwise. The views expressed in this article are those of the authors and not of the Department of Defense, Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., or other federal agencies.
质子抑制剂 (PPI) 可能导致低,导致低血症和肌肉等症状. 在使用这些常见药物时,定期电解质监测至关重要.
科学领域:
- 内部医学 内部医学
- 临床药理学 临床药理学
背景情况:
- 质子抑制剂 (PPI) 是一种被广泛处方的药物.
- 由于PPI的常见使用,PPI的潜在不良影响往往被忽视.
研究的目的:
- 为了突出 PPI 诱导的低磁性血症的次要低血症的情况.
- 强调在PPI治疗期间监测电解质的重要性.
主要方法:
- 病例报告详细介绍了一名患有麻醉和肌肉的患者.
- 分析患者的病情,将症状与低血和低磁血症联系起来.
- 关于PPI诱导的电解质干扰的文献综述.
主要成果:
- 患者的麻醉和肌肉的症状被误诊为恐慌发作.
- 基本原因被确定为由PPI诱导的低血症引起的低血症.
- 这一案例突显出一种潜在的,但往往没有考虑的,对PPE的不良反应.
结论:
- 质子抑制剂需要谨慎和适当使用.
- 在PPI治疗期间,建议定期监测电解质,特别是.
- 在长期服用PPI的患者中,也建议考虑维生素B12水平.
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