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1例19岁男性肺结核患者因大咯血入院。入院当日血电解质检查示钾3.5 mmol/L、钠137 mmol/L、氯104 mmol/L。给予其甲磺酸酚妥拉明20 mg、垂体后叶素24 U分别加入0.9%氯化钠注射液50 ml中以5 ml/h速度每日持续静脉泵入,同时给予抗结核治疗(对氨基水杨酸异烟肼+左氧氟沙星+阿米卡星)。入院第5天患者出现乏力、头痛,血电解质检查示钾3.1 mmol/L、钠122 mmol/L、氯88 mmol/L、磷0.65 mmol/L。垂体后叶素减量至18 U,1次/12 h,同时补充电解质,其他药物维持不变。第6天检查示血钾2.8 mmol/L、钠117 mmol/L、氯83 mmol/L、磷0.54 mmol/L、钙1.99 mmol/L。停用垂体后叶素,补充电解质。入院第10天,患者电解质恢复正常:钾4.3 mmol/L、钠136 mmol/L、氯101 mmol/L、钙2.17 mmol/L、磷0.82 mmol/L。
A 19-year-old man with pulmonary tuberculosis admitted to hospital for severe hemoptysis. On the day of admission, blood electrolytes showed 3.5 mmol / L potassium, 137 mmol / L sodium and 104 mmol / L chlorine. Give phentolamine mesylate 20 mg, vasopressin 24 U were added to 0.9% sodium chloride injection 50 ml at a daily rate of 5 ml / h continuous intravenous infusion of anti-TB treatment (given Aminosalicylate Isoniazid + Levofloxacin + Amikacin). On the 5th day after admission, the patients presented with fatigue, headache and blood electrolytes. The results showed that potassium, potassium and potassium were 3.1 mmol / L, 122 mmol / L, 88 mmol / L and 0.65 mmol / L respectively. Pituitrin reduced to 18 U, 1/12 h, while electrolytes, other drugs remain unchanged. On the 6th day, serum potassium 2.8 mmol / L, sodium 117 mmol / L, chlorine 83 mmol / L, phosphorus 0.54 mmol / L and calcium 1.99 mmol / L were examined. Disable pituitrin, make up electrolytes. Electrolytes returned to normal on the 10th day after admission: potassium 4.3 mmol / L, sodium 136 mmol / L, chlorine 101 mmol / L, calcium 2.17 mmol / L and phosphorus 0.82 mmol / L.