Virdi V S, Bharti B, Poddar B, Basu S, Parmar V R
Department of Pediatrics, Government Medical College and Hospital, Chandigarh, India.
Anaesth Intensive Care. 2002 Jun;30(3):380-1. doi: 10.1177/0310057X0203000322.
Severe hyperkalaemia in patients with congenital adrenal hyperplasia in association with aggravating factors such as acidosis and hypocalcaemia can cause life-threatening ventricular arrhythmias. Treatment of the underlying cause may be the only modality required in such cases. We report a 20-day-old male presenting with ventricular tachycardia due to electrolyte abnormalities in salt-losing congenital adrenal hyperplasia. Sudden cardiac deaths reported earlier in such cases thus gain credence.
先天性肾上腺增生症患者出现严重高钾血症,并伴有酸中毒和低钙血症等加重因素时,可导致危及生命的室性心律失常。在此类情况下,治疗根本病因可能是唯一所需的治疗方式。我们报告一例20日龄男性患儿,因失盐型先天性肾上腺增生症的电解质异常而出现室性心动过速。此类病例早期报告的心脏性猝死因此得到了证实。