https://scholars.lib.ntu.edu.tw/handle/123456789/628927
標題: | Impending cardiac tamponade caused by salt supplement in a hyponatremic patient with chronic kidney disease | 作者: | HUI-TENG CHENG Yen-Ting Lai Tsai, Kuei-Chin |
公開日期: | 十月-2012 | 出版社: | W B SAUNDERS CO-ELSEVIER INC | 卷: | 30 | 期: | 8 | 來源出版物: | The American journal of emergency medicine | 摘要: | We documented a hyponatremic patient who developed imminent cardiac tamponade upon oral salt supplement. A 72-year-old diabetic woman had hemorrhagic stroke; pericardial effusion; and chronic kidney disease, stage IV. She developed hyponatremia (serum sodium level, 125 mmol/L), compatible with the syndrome of inappropriate antidiuretic hormone, and received oral salt supplement 9 g/d for 4 days. Shortness of breathing and increasing heart rate ensued, and the echocardiography found accumulation of pericardial effusion with signs of impending cardiac tamponade. Pig-tail drainage through pericardiocentesis was done, and the vital signs were stabilized. We found the production of pericardial effusion increased from 100 to 220 mL/d after oral salt supplement at 3 g/d was reassumed. We discuss the relationship between serum sodium levels, the dose of salt supplement and the accumulation of pericardial effusion. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/628927 | ISSN: | 0735-6757 | DOI: | 10.1016/j.ajem.2011.07.025 |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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