HYPERCALCEMIA COMPLICATING AN INDUSTRIAL NEAR-DROWNING

被引：6

作者：

FROMM, RE

机构：

[1] Department of Emergency Services, The Methodist Hospital, Houston, TX

[2] Baylor College of Medicine, Houston, TX

来源：

ANNALS OF EMERGENCY MEDICINE | 1991年 / 20卷 / 06期

关键词：

hypercalcemia; near-drowning;

D O I：

10.1016/S0196-0644(05)82392-3

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A 28-year-old man presented with lethargy, solmulence, and polyuria following near-drowning in a vessel of an offshore oil rig. Laboratory evaluation demonstrated severe hypercalcemia that responded to saline diuresis and nasogastric suctioning. Calcium salts are used frequently in the drilling and completion of oil wells, and it is presumed that this patient's hypercalcemia represented acute intoxication from swallowed and aspirated fluid. This case highlights the need to consider the potential constituents of the drowning fluid in victims of near-drowning, particularly if unexplained clinical phenomena are evident.

引用

页码：669 / 671

页数：3

共 21 条

[1]

Knopp, Near drowning, Emergency Medicine Concepts and Clinical Practice, pp. 645-651, (1988)

[2]

Kot, Drowning and near drowning, Am Fam Physician, 10, pp. 72-76, (1974)

[3]

Orlowski, Abulleli, Phillips, The hemodynamic and cardiovascular effects of near drowning in hypotonic isotonic or hypertonic solutions, Ann Emerg Med, 18, pp. 1044-1049, (1989)

[4]

Haynes, Near drowning, Emergency Medicine: A Comprehensive Study Guide, pp. 383-386, (1985)

[5]

Modell, Davis, Electrolyte changes in human drowning victims, Anesthesiology, 30, pp. 414-420, (1969)

[6]

Modell, Graves, Ketover, Clinical course of 91 consecutive near drowning victims, Chest, 70, pp. 231-238, (1976)

[7]

Porath, Mosseri, Harman, Et al., Dead Sea water poisoning, Ann Emerg Med, 18, pp. 187-191, (1989)

[8]

Yagil, Stalnikowiez, Michaeli, Et al., Near drowning in the Dead Sea: Electrolyte imbalances and therapeutic implications, Arch Intern Med, 145, pp. 50-53, (1985)

[9]

Pruessner, Zenner, Hansel, Management of the near-drowning victim, Am Fam Physician, 37, pp. 251-260, (1988)

[10]

Swan, Mechanism of circulatory failure in fresh and sea water drowning, Circulation Research, 4, pp. 241-244, (1956)

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