关节镜检查后出现严重高钙血症：硫酸钙珠是罪魁祸首。
SEVERE HYPERCALCEMIA AFTER JOINT ARTHROSCOPY: CALCIUM SULFATE BEADS TO BLAME.
作者信息
Magdaleno Angela, McCauley Robert A
出版信息
AACE Clin Case Rep. 2019 Aug 14;5(6):e372-e374. doi: 10.4158/ACCR-2019-0216. eCollection 2019 Nov-Dec.
OBJECTIVE
To review the diagnosis and clinical course of a woman with severe, symptomatic hypercalcemia resulting from the use of calcium sulfate beads (CSBs) during orthopedic surgery for knee joint infection.
METHODS
Clinical and laboratory data are presented.
RESULTS
This is a unique case report of a woman that developed severe hypercalcemia 6 days after knee joint arthroscopy with CSB placement for knee prosthesis infection. Her laboratory data were unrevealing for alternate causes of severe hypercalcemia. Her symptoms and calcium level improved with intravenous fluids and 1 dose of calcitonin.
CONCLUSION
This case demonstrates a rare but serious side effect of using calcium-based beads as fillers for orthopedic surgeries. It is important for patients and physicians to be aware that severe hypercalcemia can result from CSBs used during orthopedic procedures.
目的
回顾一名女性患者在膝关节感染的骨科手术中使用硫酸钙珠（CSB）后出现严重症状性高钙血症的诊断及临床病程。
方法
展示临床和实验室数据。
结果
这是一份独特的病例报告，一名女性在膝关节镜检查并植入CSB治疗膝关节假体感染6天后出现严重高钙血症。她的实验室数据未显示严重高钙血症的其他病因。通过静脉补液和一剂降钙素，她的症状和血钙水平有所改善。
结论
该病例表明使用钙基珠作为骨科手术填充物会产生一种罕见但严重的副作用。患者和医生应意识到在骨科手术中使用CSB可能导致严重高钙血症，这一点很重要。
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