Filastre J P, Humbert G, Leroy J, Maitrot J, Deshayes P, Canonne M A
Eur J Intensive Care Med. 1975 Dec;1(4):185-8. doi: 10.1007/BF00624436.
Twenty-nine patients with acute hypercalcemia secondary to carcinoma, myeloma and parathyroid adenoma have been treated with large doses of furosemide, mithramycin, or salmon calcitonin perfusion. With furosemide administration the treatment was successful in 6 of 10 patients. Furosemide was injected intravenously at the rate of 125 mg every 3 hours. With mithramycin perfusion only 2 of 8 patients have a return of the serum calcium levels to normal. With salmon thyrocalcitonin 3 of 10 patients obtained a good result. It can be interesting to suggest the association of furosemide and salmon calcitonin infusion to treat hypercalcemia of myeloma.
29例继发于癌症、骨髓瘤和甲状旁腺腺瘤的急性高钙血症患者接受了大剂量呋塞米、光辉霉素或鲑鱼降钙素灌注治疗。使用呋塞米治疗时,10例患者中有6例治疗成功。呋塞米以每3小时125毫克的速度静脉注射。使用光辉霉素灌注时,8例患者中只有2例血清钙水平恢复正常。使用鲑鱼降钙素时,10例患者中有3例取得了良好效果。建议联合使用呋塞米和鲑鱼降钙素输注治疗骨髓瘤高钙血症可能会很有意思。