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高钾性麻痹——肾衰竭的一种奇特表现。

Hyperkalaemic paralysis--a bizarre presentation of renal failure.

作者信息

Cumberbatch G L, Hampton T J

机构信息

Poole Hospital, Dorset.

出版信息

J Accid Emerg Med. 1999 May;16(3):230-2. doi: 10.1136/emj.16.3.230.

Abstract

Paralysis due to hyperkalaemia is rare and the diagnosis may be overlooked in the first instance. However it is rapidly reversible and so long as electro-cardiography and serum potassium measurement are urgently done in all patients presenting with paralysis, it will not be missed. A case of hyperkalaemic paralysis is described and a review of the emergency management discussed.

摘要

高钾血症所致的麻痹较为罕见,最初可能会漏诊。然而,其可迅速逆转,因此只要对所有出现麻痹症状的患者紧急进行心电图检查和血清钾测定,就不会漏诊。本文描述了一例高钾血症性麻痹病例,并讨论了其紧急处理方法。

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本文引用的文献

1
Muscular paralysis and ventilatory failure caused by hyperkalaemia.
Br J Anaesth. 1993 Feb;70(2):226-7. doi: 10.1093/bja/70.2.226.
3
Hyperkalaemia presenting as ventilatory failure.以呼吸衰竭为表现的高钾血症。
Anaesthesia. 1980 Sep;35(9):885-6. doi: 10.1111/j.1365-2044.1980.tb03948.x.
5
Hyperkalaemic paralysis resembling Guillain-Barré syndrome.
Lancet. 1979 Nov 3;2(8149):963-4. doi: 10.1016/s0140-6736(79)92663-1.

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