[令人震惊的健康检查: 真是个该死的血浆!]

Julie Labasque, Dorian Marchand, Clémentine Lhomme, Jacob Lavisse, Patrice Maboudou, Guillaume Grzych
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引用次数: 0

摘要

一名 35 岁的代谢性病变患者因门静脉高压症住院,在全身麻醉的情况下接受了程控纤维镜检查。手术后,他出现了败血症症状,被转入重症监护室。对某些参数进行了生物分析并发出自动警报。对样本外观的目测发现血浆颜色异常。从临床科室获得的其他信息无法解释这种颜色。其他化验结果证实,该病人在病理治疗过程中服用了过量的维生素 B12,这也是造成所观察到的干扰的原因。因此,在怀疑存在干扰的情况下,有必要检查反应曲线,必要时进行稀释,以减少对生物检测的影响。
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[An alarming health check-up: what a bloody plasma!]

A 35-year-old patient with a metabolic pathology was hospitalized for programmed fibroscopy under general anesthesia for investigation and management of portal hypertension. Following the operation, he showed signs of sepsis and was transferred to intensive care unit. Biological analyzes carried out and generated automaton alarms for certain parameters. A visual check of the appearance of the sample revealed an unusual color of plasma. Additional informations obtained from the clinical department did not provide any explanation for this coloration. Additional assays confirmed an overdose of vitamin B12 related to the treatment of his pathology and which is responsible for the interference observed. Hence the interest of checking the reaction curves in the event of suspected interference and, if necessary, of making dilutions in order to reduce the effects on the biological assays.

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