对液体复苏无反应的低血压：一例报告
Hypotension Unresponsive to Fluid Resuscitation: A Case Report.
作者信息
Mameledzija Mahir, Nasrallah Erin, Hartrich Molly
机构信息
University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois.
Advocate Lutheran General Hospital, Department of Emergency Medicine, Park Ridge, Illinois.
出版信息
Clin Pract Cases Emerg Med. 2022 Aug;6(3):236-239. doi: 10.5811/cpcem.2022.4.55896.
INTRODUCTION
Iron deficiency anemia is commonly seen in the emergency department (ED), and the cause can be complex and variable.
CASE REPORT
We present a case of a female without known medical history who presented to the ED for generalized weakness and was found to have severe anemia in the setting of chronic lice infestation.
CONCLUSION
Severe and chronic pediculosis can cause chronic blood loss and be an unusual and rare cause of iron deficiency anemia. In the setting of anemia and hypotension unresponsive to fluid resuscitation, consideration should be given to early packed red blood cell transfusion and subsequent investigation of causes of severe anemia.
引言
缺铁性贫血在急诊科很常见，其病因可能复杂多样。
病例报告
我们报告一例无已知病史的女性患者，因全身无力就诊于急诊科，发现其在慢性虱子感染的情况下患有严重贫血。
结论
严重和慢性虱病可导致慢性失血，是缺铁性贫血的一种不常见且罕见的病因。在贫血和低血压对液体复苏无反应的情况下，应考虑早期输注浓缩红细胞，并随后调查严重贫血的病因。
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