与低钙血症和肾脏疾病相关的难治性低血压。

Refractory hypotension associated with hypocalcemia and renal disease.

作者信息

Ghent S, Judson M A, Rosansky S J

机构信息

Division of Pulmonary and Critical Care Medicine, University of South Carolina School of Medicine, Columbia.

出版信息

Am J Kidney Dis. 1994 Mar;23(3):430-2. doi: 10.1016/s0272-6386(12)81007-9.

DOI:10.1016/s0272-6386(12)81007-9

PMID:8128946

Abstract

A 35-year-old hypertensive man presented with chronic renal insufficiency, congestive heart failure, and refractory hypotension. He had metabolic acidosis and profound hypocalcemia. Left ventricular function and blood pressure worsened after intravenous infusion of saline and bicarbonate, but improved dramatically after intravenous calcium administration. This case illustrates that hypocalcemia is a cause of refractory hypotension and heart failure.

摘要

一名35岁的高血压男性患者出现慢性肾功能不全、充血性心力衰竭和难治性低血压。他存在代谢性酸中毒和严重低钙血症。静脉输注生理盐水和碳酸氢钠后，左心室功能和血压恶化，但静脉补钙后显著改善。该病例表明，低钙血症是难治性低血压和心力衰竭的一个原因。