Kacprowicz Robert F, Lloyd Jeremy D
San Antonio Uniformed Services Health Education Consortium Residency in Emergency Medicine, San Antonio, TX, USA.
Emerg Med Clin North Am. 2009 May;27(2):257-69. doi: 10.1016/j.emc.2009.01.007.
A thorough working knowledge of the diagnosis and treatment of life-threatening electrolyte abnormalities in cancer patients, especially hyponatremia, hypoglycemia, and hypercalcemia, is essential to the successful practice of emergency medicine. Although most minor abnormalities have no specific treatment, severe clinical manifestations of several notable electrolytes occur with significant frequency in the setting of malignancy. The treatment of life-threatening electrolyte abnormalities is reviewed here. Promising future treatments directed at the underlying physiology are also introduced.
全面掌握癌症患者危及生命的电解质紊乱(尤其是低钠血症、低血糖症和高钙血症)的诊断和治疗方法,对于成功开展急诊医学至关重要。虽然大多数轻微的电解质异常无需特殊治疗,但在恶性肿瘤患者中,几种显著电解质的严重临床表现却相当常见。本文将对危及生命的电解质紊乱的治疗进行综述。同时也将介绍针对潜在生理机制的有前景的未来治疗方法。