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手足搐搦加重心力衰竭:一例报告

Tetany Exacerbating Heart Failure: A Case Report.

作者信息

Tanabe Junya, Fukunaga Shohei, Endo Akihiro, Ito Takafumi, Tanabe Kazuaki

机构信息

Cardiology, Shimane University Faculty of Medicine, Izumo, JPN.

Nephrology, Shimane University Faculty of Medicine, Izumo, JPN.

出版信息

Cureus. 2021 Jan 4;13(1):e12467. doi: 10.7759/cureus.12467.

Abstract

Tetany is characterized by numbness and stiffness in the hands and feet caused by hypocalcemia, hypomagnesemia, and hyperventilatory alkalosis, primarily at peripheral neuromuscular junctions. Although hypocalcemia is common in critically ill patients, its diagnosis of hypocalcemia is complicated and sometimes overlooked. We encountered an 82-year-old woman with tetany that exacerbated heart failure. Pain and respiratory failure due to tetany are conditions that can lead to exacerbation of heart failure. Chronic renal failure is frequently associated with chronic heart failure, and regular follow-up of calcium, phosphorus, and magnesium levels is necessary for such patients.

摘要

手足搐搦的特征是由低钙血症、低镁血症和过度通气性碱中毒引起的手足麻木和僵硬,主要发生在外周神经肌肉接头处。虽然低钙血症在危重症患者中很常见,但其诊断复杂,有时会被忽视。我们遇到一名82岁的女性,其手足搐搦加重了心力衰竭。手足搐搦引起的疼痛和呼吸衰竭可能导致心力衰竭加重。慢性肾衰竭常与慢性心力衰竭相关,对此类患者有必要定期监测钙、磷和镁水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e000/7785505/70f96d0a0d8b/cureus-0013-00000012467-i01.jpg

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