[癌症患者低钠血症和电解质紊乱]。

Q4 Medicine
Giulia Florio, Anna Iervolino, Mariadelina Simeoni, Alessandra F Perna, Francesco Trepiccione
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引用次数: 0

摘要

肾脏病学是一个新兴的和迅速发展的医学领域,其中肾脏病学和肿瘤学相遇。除了多学科会议,肿瘤学家和肾病学家经常讨论治疗的时机、剂量和副作用管理。癌症患者经常会遇到不同的电解质紊乱。它们大多是继发于肿瘤本身或其治疗的后果。在过去的几年里,人们努力寻找新的治疗方法,比如靶向、免疫和基于细胞的治疗方法,这给我们带来了许多新的副作用。低钠血症、低钾血症、高钾血症、高钙血症和低镁血症是最常见的电解质紊乱。数据显示,电解质失衡患者预后较差。此外,它们会导致化疗延迟甚至中断。及时诊断和治疗这些并发症非常重要。在这篇综述中,我们特别关注作为癌症患者中最常见的电解质紊乱的低钠血症及其治疗,以及新描述的低钾血症和高钾血症以及代谢性酸中毒病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Hyponatremia and Electrolyte Disorders in Cancer Patients].

Onconephrology is a rising and rapidly expanding field of medicine in which nephrology and oncology meet each other. Besides multidisciplinary meetings, oncologists and nephrologists often discuss on timing of the treatment, dosage, and side effects management. Cancer patients often encounter different electrolyte disorders. They are mostly secondary to the tumor itself or consequences of its treatment. In the last years, the great efforts to find new therapies like targeted, immune, and cell-based led us to many new side effects. Hyponatremia, hypokalemia, hyperkalemia, hypercalcemia, and hypomagnesemia are among the most common electrolyte disorders. Data have shown a worse prognosis in patients with electrolytic imbalances. Additionally, they cause a delay in chemotherapy or even an interruption. It is important to diagnose promptly these complications and treat them. In this review, we provide a special focus on hyponatremia and its treatment as the most common electrolytes disorder in cancer patients, but also on newly described cases of hypo- and hyperkalemia and metabolic acidosis.

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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
62
期刊介绍: Il Giornale Italiano di Nefrologia (GIN) è la rivista di educazione continua della Società Italiana di Nefrologia SIN ed è pubblicato bimestralmente. E" il più autorevole organo di informazione nefrologia disponibile a livello nazionale. Il giornale Italiano di Nefrologia offre la più aggiornata informazione medico-scientifica rivolta al nefrologo sotto forma di rassegne, casi clinici e articoli finalizzati all’Educazione Continua in Medicina, oltre ai notiziari ed agli atti dei congressi di questa prestigiosa Società Scientifica
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