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一名61岁女性在髋关节翻修术后出现多尿。

A 61-year-old woman develops polyuria after hip revision.

作者信息

Shaheen Aisha, Dobish Mark, Gleason Vanessa, Setren Adam, Stem Jonathan, Kohl Benjamin A

机构信息

Department of Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, USA.

Department of Anesthesiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, USA.

出版信息

J Surg Case Rep. 2016 May 11;2016(5):rjw079. doi: 10.1093/jscr/rjw079.

DOI:10.1093/jscr/rjw079
PMID:27170702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4863244/
Abstract

A 61-year-old previously healthy woman developed progressive hearing and visual loss over a period of 2-3 months prior to admission. Her medical/surgical history was remarkable for a left hip arthroplasty 11 years ago requiring revision approximately 6 months prior to admission. After dislocating the revised hip, she re-presented to her surgeon and underwent a closed reduction. Several weeks following the reduction, the patient began having polyuria and symptoms of hearing and vision loss along with numbness in her extremities and abdominal region.

摘要

一名61岁既往健康的女性在入院前2至3个月内出现渐进性听力和视力丧失。她的内科/外科病史有显著特点，11年前进行了左髋关节置换术，入院前约6个月需要翻修。翻修后的髋关节脱位后，她再次找外科医生并接受了闭合复位。复位几周后，患者开始出现多尿、听力和视力丧失症状，以及四肢和腹部麻木。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b68a/4863244/b552321551cb/rjw079f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b68a/4863244/bae3d24e610f/rjw079f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b68a/4863244/b1dd125b7329/rjw079f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b68a/4863244/b552321551cb/rjw079f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b68a/4863244/bae3d24e610f/rjw079f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b68a/4863244/b1dd125b7329/rjw079f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b68a/4863244/b552321551cb/rjw079f03.jpg

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Clinical features, testing, and management of patients with suspected prosthetic hip-associated cobalt toxicity: a systematic review of cases.疑似人工髋关节相关钴中毒患者的临床特征、检测和处理：病例系统回顾。
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