San Antonio Uniformed Services Health Education Consortium Residency in Emergency Medicine, San Antonio, TX, USA.
Hematol Oncol Clin North Am. 2010 Jun;24(3):553-65. doi: 10.1016/j.hoc.2010.03.007.
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.
精通癌症患者威胁生命的电解质异常(尤其是低钠血症、低血糖和高钙血症)的诊断和治疗,是急诊医学成功实践的关键。虽然大多数轻微异常不需要特定治疗,但在恶性肿瘤中,几种显著电解质的严重临床表现发生频率相当高。本文回顾了威胁生命的电解质异常的治疗方法,并介绍了针对潜在生理机制的有前途的未来治疗方法。