A Case of Transient Hyperlactatemia Induced by Intravenous Glycerol Administration in a Patient With Brain Trauma.

Q3 Medicine
Tomoya Fujise, Shun-Ichi Nihei, Misako Yamashita, Yuta Takahashi, Takayuki Uchida, Ken Otsuji, Keiji Aibara, Masayuki Kamochi
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引用次数: 0

Abstract

Elevated lactate levels are associated with a poor prognosis in patients with sepsis and shock. Intravenous glycerol administration is often used in Japan to treat patients with acute stroke or brain trauma, but such treatment can cause elevated lactate levels. We experienced a case of transient hyperlactatemia induced by intravenous glycerol administration in a patient with brain trauma. A 74-year-old woman underwent decompressive craniotomy because of loss of consciousness and brain edema. Glycerol was administered after the operation for management of the brain edema. Although the patient's hemodynamics remained stable, her lactate level decreased and increased repeatedly. We recognized that the elevation in her lactate level was associated with the administration of intravenous glycerol. This case suggests that intravenous glycerol administration can induce transient hyperlactatemia.

脑外伤患者静脉注射甘油诱发一过性高乳酸血症的病例。
乳酸水平升高与败血症和休克患者的预后不良有关。在日本,静脉注射甘油通常用于治疗急性中风或脑外伤患者,但这种治疗方法可能导致乳酸水平升高。我们经历了一例脑外伤患者因静脉注射甘油而诱发一过性高乳酸血症的病例。一名 74 岁的妇女因意识丧失和脑水肿而接受了开颅减压手术。术后为控制脑水肿给患者注射了甘油。虽然患者的血液动力学状况保持稳定,但她的乳酸水平却反复下降和升高。我们发现她的乳酸水平升高与静脉注射甘油有关。本病例表明,静脉注射甘油可诱发一过性高乳酸血症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of UOEH
Journal of UOEH Medicine-Medicine (all)
CiteScore
1.30
自引率
0.00%
发文量
35
期刊介绍: Published quarterly: 1 annual volume consisted of 4 numbers. Issued on the 1st of March, June, September and December, respectively.
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