Field J, Daly F S
Intensive Care Unit, Royal Perth Hospital, Perth, Western Australia.
Crit Care Resusc. 2002 Sep;4(3):173-6.
A case of severe sodium valproate overdose is presented in which continuous venovenous haemodiafiltration was used. However, following the commencement of dialysis and a fall in the serum valproate levels, the patient developed cerebral oedema. This case demonstrated a poor correlation between serum valproate and its toxic effects and the lack of benefit of continuous venovenous haemodiafiltration in the management of sodium valproate overdose.
本文报告一例严重丙戊酸钠过量病例,该病例采用了持续静脉-静脉血液透析滤过治疗。然而,在透析开始且血清丙戊酸水平下降后,患者出现了脑水肿。该病例表明血清丙戊酸水平与其毒性作用之间的相关性较差,且持续静脉-静脉血液透析滤过在治疗丙戊酸钠过量方面并无益处。