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高输出量回肠造口术合并肾衰竭、高钾血症和代谢性酸中毒时出现的伴有室内传导延迟、低血压和心动过缓的心房扑动:一例报告并文献简要综述

Atrial Flutter With Intraventricular Conduction Delay, Hypotension, and Bradycardia in the Setting of High-Output Ileostomy With Renal Failure, Hyperkalemia, and Metabolic Acidosis: A Case Report With Brief Literature Review.

作者信息

Asuka Edinen, Odac Barbara, Ndakotsu Andrew, Postoev Anastasia

机构信息

Internal Medicine and Preventive Medicine, Griffin Hospital, Derby, USA.

Internal Medicine, MedStar Health, Baltimore, USA.

出版信息

Cureus. 2025 May 15;17(5):e84158. doi: 10.7759/cureus.84158. eCollection 2025 May.

Abstract

After ostomy creation, some patients tend to develop high outputs from their ostomy site, which puts them at risk for volume depletion, renal failure, and electrolyte and acid-base abnormalities. This case emphasizes the need for a multidisciplinary team-based approach for the care of patients after ostomy creation, especially those with persistent high output and significant cardiac comorbidities, including cardiac arrhythmias. Patient education and subsequent follow-ups and assessments are important to prevent life-threatening complications in these patients.

摘要

造口术后,一些患者往往会出现造口部位高排出量,这使他们面临容量耗竭、肾衰竭以及电解质和酸碱平衡异常的风险。本病例强调了对造口术后患者采取多学科团队协作护理方法的必要性,尤其是那些持续高排出量且伴有严重心脏合并症(包括心律失常)的患者。对这些患者进行患者教育以及后续的随访和评估对于预防危及生命的并发症很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c16/12080451/18ab120d9d5b/cureus-0017-00000084158-i01.jpg

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