Nadel S M, Jackson J W, Ploth D W
JAMA. 1979 May 25;241(21):2294-6.
A patient experienced severe hypokalemia in the setting of prolonged nasogastric suction and total parenteral nutrition. Severe rhabdomyolysis and acute renal failure ensued. Review of the literature failed to disclose a similar case of hypokalemic rhabdomyolysis and acute renal failure, although the syndrome has been associated with other causes of hypokalemia, and its pathophysiology has been investigated in experimental models. The morbidity associated with extensive myonecrosis and severe, acute renal failure in this patient indicates that hypokalemia and other electrolyte abnormalities should be aggressively corrected in similar clinical settings.
一名患者在长期鼻胃吸引和全胃肠外营养的情况下出现严重低钾血症。随后发生了严重横纹肌溶解和急性肾衰竭。文献回顾未发现类似的低钾性横纹肌溶解和急性肾衰竭病例，尽管该综合征与其他低钾血症病因有关，且其病理生理学已在实验模型中进行了研究。该患者广泛肌坏死和严重急性肾衰竭相关的发病率表明，在类似临床情况下应积极纠正低钾血症和其他电解质异常。
