Claus-Walker J, Halstead L S, Rodriguez G P, Henry Y K
Arch Phys Med Rehabil. 1982 Mar;63(3):108-15.
During the course of hospitalization for comprehensive rehabilitation, a 14-year-old boy with C4 spinal cord injury and hypercalcemia was treated with 5 different treatment regimens which were instituted to reduce the hypercalcemia and associated complications. These regimens included low calcium diet, steroids, oral phosphates, intravenous saline, diuretics, hyperalimentation, calcitonin and spironolactone in various combinations, and mobilization. Careful metabolic monitoring carried out throughout hospitalization permitted the evaluation in retrospect of the impact of each treatment regimen, and, to a lesser extent, the impact of their individual components. Among all the therapeutic modalities, the most effective variables in reducing hypercalcemia in this patient were mobilization in the form of wheelchair sitting for long-term effects, and saline, furosemide, and calcitonin for short-term effects.
在综合康复住院期间，一名患有C4脊髓损伤和高钙血症的14岁男孩接受了5种不同的治疗方案，这些方案旨在降低高钙血症及相关并发症。这些方案包括低钙饮食、类固醇、口服磷酸盐、静脉输注生理盐水、利尿剂、胃肠外营养、降钙素和螺内酯的各种组合，以及活动。住院期间进行的仔细代谢监测使得能够回顾性评估每种治疗方案的影响，以及在较小程度上评估其各个组成部分的影响。在所有治疗方式中，对该患者降低高钙血症最有效的变量是长期轮椅坐姿形式的活动，以及短期使用生理盐水、呋塞米和降钙素。
