伊莱萨韦斯利公会医院一名4岁男童出现手足痉挛，伴有持续呕吐和电解质紊乱。
Carpopedal spasm in a 4 year old boy with persisted vomiting and dyselectrolytemia in Wesley Guild Hospital Ilesa.
作者信息
Oke Oluwasola Julius, Amoo Kazeem Olarenwaju, Akinwumi Ifeoluwa Alex, Fawale Omomayowa Omotola, Adeniyi Adewuyi Temidayo, Adeniji Emmanuel Oluwatosin, Adetola Hammed Hassan, Ologun Busayo Gideon, Folarin Oluwatobi Faith, Kuti Dedmilade Kehinde
机构信息
Department of Paediatrics and Child Health, Obafemi Awolowo University, Ile Ife, Nigeria.
Department of Paediatrics, Wesley Guild Hospital, Obafemi Awolowo University, Ilesa, Nigeria.
出版信息
Pan Afr Med J. 2019 May 21;33:43. doi: 10.11604/pamj.2019.33.43.17770. eCollection 2019.
Carpopedal spasm have various causes ranging from dsyselecrolytemia, syndromic, metabolic or endocrine causes. Any of these could cause a decrease in ionized calcium and tetany. Excessive vomiting leading to alkalosis, hypokaleamia and decreased ionised calcium should be kept in mind for early etiological diagnosis of carpopedal spasm. We report a case of 4-year-old boy presenting with a history of recurrent painful spasm and flexion of bilateral hands following excessive vomiting and electrolyte derangement.
手足搐搦有多种病因，包括电解质紊乱、综合征性、代谢性或内分泌性病因。其中任何一种都可能导致离子钙减少和手足搐搦症。应牢记过度呕吐导致碱中毒、低钾血症和离子钙降低，以便对手足搐搦进行早期病因诊断。我们报告一例4岁男孩，有反复发生的疼痛性痉挛病史，在过度呕吐和电解质紊乱后出现双侧手部屈曲。
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