论文信息 - Severe hypercalcemia and polyuria in a near-drowning victim.

Severe hypercalcemia and polyuria in a near-drowning victim.

A 73-year-old man was admitted because of near-drowning in a hot springs bath. Transient severe hypercalcemia and polyuria were seen during the first hospital day. It seemed that the hypercalcemia was due to acute intoxication from calcium contained in the water of the spring absorbed mainly through the alveoli. To our knowledge, this is the first case of acute hypercalcemia complicating a near-drowning in a hot spring. Analysis of serum and urine electrolytes during the polyuric phase revealed saline diuresis, which was probably due to interference by the hypercalcemia of the reabsorption of sodium and free water.

[1] R. Fromm. Hypercalcemia complicating an industrial near-drowning. , 1991, Annals of emergency medicine.

[2] M. Alkan,et al. Near drowning in the Dead Sea. , 1977, Israel journal of medical sciences.

[3] R. Ulstrom,et al. Hypercalcemia as a complication of parenteral alimentation. , 1972, The Journal of pediatrics.

[4] N. Jones,et al. Effect of brief hypercalcaemia on free water reabsorption during solute diuresis: evidence for impairment of sodium transport in Henle's loop. , 1970, Clinical science.

[5] I. Ovsyshcher,et al. Electrocardiographic manifestations of combined hypercalcemia and hypermagnesemia. , 1990, Journal of electrocardiology.

[6] C. Kleeman,et al. Clinical disorders of fluid and electrolyte metabolism , 1987 .

[7] Smothers Pk. Drowning and near-drowning: an update. , 1982 .

[8] G. Eknoyan,et al. The renal diluting and concentrating mechanism in hypercalcemia. , 1969, Nephron.