一名婴儿因维生素D缺乏而出现心源性休克。
Vitamin D deficiency presenting with cardiogenic shock in an infant.
作者信息
Kumar Manish, Saikia Diganta, Kumar Vishal, Tomar Ruchi
机构信息
Department of Pediatrics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.
出版信息
Ann Pediatr Cardiol. 2011 Jul;4(2):207-9. doi: 10.4103/0974-2069.84668.
Abstract
A 2-month-old child was referred as a case of dilated cardiomyopathy with cardiogenic shock. On evaluation, hypocalcemia secondary to severe vitamin D deficiency was found. There were no clinical or radiological features of rickets. The child had developed multiorgan failure due to cardiogenic shock at the time of admission and could not be saved despite adequate ventilatory and pharmacologic support. Hypocalcemia should be considered as an important differential diagnosis in cases of dilated cardiomyopathy in infants.
摘要
一名2个月大的儿童因扩张型心肌病伴心源性休克前来就诊。评估发现，该患儿因严重维生素D缺乏继发低钙血症。患儿并无佝偻病的临床或影像学特征。患儿入院时因心源性休克已发展为多器官功能衰竭，尽管给予了充分的通气和药物支持，仍未能挽救其生命。对于婴儿扩张型心肌病病例，应将低钙血症视为重要的鉴别诊断之一。
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