Thomas S M, Booth B E, Rao A
Duncan Hospital, Emmanuel Hospital Association, Bihar, India.
Trop Doct. 1999 Jul;29(3):148-51. doi: 10.1177/004947559902900308.
Of 68 patients who were admitted with acute quadriparesis to a hospital in northern India, over 70% were found to be hypokalaemic. The most common cause of hypokalaemia was that associated with gastroenteritis (54%). These patients had all received intravenous fluids previously. It is likely that their hypokalaemia was caused by gastrointestinal loss compounded by parenteral fluid replacement. The next most common group of hypokalaemia-associated quadriparesis had no obvious cause for hypokalaemia (38%). Hypokalaemia-induced quadriparesis is a potentially life-threatening illness which can be readily treated with potassium supplements. The physician should consider hypokalaemia in patients who present with acute onset quadriparesis, and even if diagnostic tests for hypokalaemia are not available, should consider a judicious trial of potassium supplementation empirically, provided that there are no contraindications.
在印度北部一家医院收治的68例急性四肢瘫痪患者中，超过70%被发现存在低钾血症。低钾血症最常见的原因是与肠胃炎相关（54%）。这些患者此前均接受过静脉输液。他们的低钾血症很可能是由胃肠道丢失并因肠外补液而加重所致。第二常见的与低钾血症相关的四肢瘫痪组患者，其低钾血症无明显病因（38%）。低钾血症所致的四肢瘫痪是一种可能危及生命的疾病，补充钾剂即可轻松治疗。对于急性起病的四肢瘫痪患者，医生应考虑低钾血症，即便没有低钾血症的诊断检测手段，只要没有禁忌证，也应考虑经验性地审慎试用补钾治疗。
