米多君和氟氢可的松在神经源性休克中的应用：一例报告
Use of midodrine and fludrocortisone in neurogenic shock: A case report.
作者信息
Kripa K C, Khanal Sushil
机构信息
Department of Critical Care, Grande International Hospital, Kathmandu, Nepal.
出版信息
Ann Med Surg (Lond). 2021 Sep 4;70:102811. doi: 10.1016/j.amsu.2021.102811. eCollection 2021 Oct.
Our case report includes a 42 year old male who had C6-C7 fracture dislocation with complete spinal cord injury following a motor vehicle accident. The patient underwent combined anterior and posterior fixation of the cervical spine. However, the patient had hypotension as a part of neurogenic shock and required vasopressor to maintain mean arterial pressure. The patient was treated in Intensive Care Unit with noradrenaline infusion to maintain mean arterial pressure but it was really challenging to stop the vasopressor. The patient was started on oral Midodrine and Fludrocortisone; vasopressor dose was tapered and finally stopped.
我们的病例报告包括一名42岁男性，他在机动车事故后发生C6 - C7骨折脱位并伴有完全性脊髓损伤。患者接受了颈椎前后联合固定术。然而，患者出现了作为神经源性休克一部分的低血压，需要使用血管升压药来维持平均动脉压。患者在重症监护病房接受治疗，通过输注去甲肾上腺素来维持平均动脉压，但停用血管升压药极具挑战性。患者开始口服米多君和氟氢可的松；逐渐减少血管升压药剂量，最终停药。
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