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[血管性血友病治疗期间的低钠血症。去氨加压素(弥凝)输注后一种危及生命的并发症]

[Hyponatremia during therapy of von Willebrand's disease. A life threatening complication after desmopressin (Minitrin) infusion].

作者信息

Brinch L J, Jacobsen M B

机构信息

Hematologisk seksjon, Rikshospitalet, Oslo.

出版信息

Tidsskr Nor Laegeforen. 1992 Nov 30;112(29):3670-1.

PMID:1471128
Abstract

We describe a patient with moderate von Willebrand's disease who developed severe hyponatremia during prophylaxis with 1-deamino-8D-arginine vasopressin (desmopressin) to prevent bleeding in connection with surgery. This is a rare complication to desmopressin treatment in adults. Our present policy is to restrict administration of desmopressin to three 12-hourly infusions, to measure serum sodium before and during the treatment period, to determine body weight daily and to restrict administration of fluids.

摘要

我们描述了一名中度血管性血友病患者,在使用去氨加压素预防手术相关出血期间发生了严重低钠血症。这是成人去氨加压素治疗中一种罕见的并发症。我们目前的策略是将去氨加压素的给药限制为每12小时输注三次,在治疗期间前后测量血清钠,每天测定体重,并限制液体摄入。

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[Hyponatremia during therapy of von Willebrand's disease. A life threatening complication after desmopressin (Minitrin) infusion].[血管性血友病治疗期间的低钠血症。去氨加压素(弥凝)输注后一种危及生命的并发症]
Tidsskr Nor Laegeforen. 1992 Nov 30;112(29):3670-1.
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Drugs Aging. 1997 Jul;11(1):27-44. doi: 10.2165/00002512-199711010-00004.
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