登革热感染导致急性低血压:一个病例系列
Krishna K Goyal1, Khichar P Shubhakaran2
1Senior Resident, Department of Neurology, Dr. S. N. Medical College, Jodhpur, Rajasthan, India.
Journal of family medicine and primary care
|December 17, 2025
概括
登革热可以导致由于低 (低血) 的急性 (paresis). 这种可逆的状况,呈现为帕帕雷斯或四帕雷斯,需要立即补充来恢复.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 内分泌学 在内分泌学.
背景情况:
- 登革热是一种蚊子传播的病毒性疾病.
- 它可以表现为各种神经系统并发症.
- 低血是登革热的一个已知的并发症.
研究的目的:
- 评估登革热感染与急性发作低血压性之间的关联.
- 调查患有低血糖症的登革热患者发生的帕帕雷斯和四帕雷斯.
主要方法:
- 进行了一项回顾性横截面研究.
- 分析了来自四名登革热和急性的男性患者 (平均年龄37岁) 的数据.
- 评估了血清水平和其他潜在的弱点原因.
主要成果:
- 两名患者进行了四重,两名患者进行了帕帕.
- 平均血清水平为2.0 meq/dl.
- 所有患者在补充后完全康复.
结论:
- 登革热感染可能伴有急性,可逆的运动 (帕帕雷西斯/四帕雷西斯),这是低血的次要原因.
- 临床医生应考虑低血压性在患有急性虚弱的登革热患者的差异诊断.
- 早期识别和补充对于有利的结果至关重要.
相关概念视频
Acute Kidney Injury III: Clinical Manifestations
769
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
769
Acute Kidney Injury VI: Nursing Management
362
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
362
Acute Kidney Injury V: Interprofessional Care
277
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
277
Acute Kidney Injury I: Introduction
519
Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
519
Acute Kidney Injury IV: Diagnostic Studies and Prevention
243
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
243
Acute Kidney Injury II: Pathophysiology
854
Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
854


