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常规静脉穿刺采血过程中因标本污染导致的合并性假性高钾血症和低钙血症

Combined false hyperkalemia and hypocalcemia due to specimen contamination during routine phlebotomy.

作者信息

Naguib M Tarek, Evans Nancy

机构信息

Department of Medicine, St Mary's Regional Medical Center, Enid, Okla 73702, USA.

出版信息

South Med J. 2002 Oct;95(10):1218-20.

PMID:12425515
Abstract

Combined pseudohyperkalemia and pseudohypocalcemia have not been previously reported in the clinical setting. We report 2 cases in which specimen contamination during routine phlebotomy with ethylenediaminetetraacetic acid (EDTA) caused alteration in serum levels of potassium and calcium. This alteration could be misleading when making clinical decisions and could produce adverse patient outcomes.

摘要

联合性假性高钾血症和假性低钙血症在临床环境中此前尚未有过报道。我们报告了2例病例,其中在常规静脉采血过程中使用乙二胺四乙酸(EDTA)导致标本污染,进而引起血清钾和钙水平的改变。这种改变在做出临床决策时可能会产生误导,并可能给患者带来不良后果。

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引用本文的文献

1
Order of draw of blood samples affect potassium results without K-EDTA contamination during routine workflow.采血顺序会影响常规工作流程中无 K-EDTA 污染的钾检测结果。
Biochem Med (Zagreb). 2021 Jun 15;31(2):020704. doi: 10.11613/BM.2021.020704. Epub 2021 Apr 15.
2
Potassium Homeostasis, Oxidative Stress, and Human Disease.钾稳态、氧化应激与人类疾病
Int J Clin Exp Physiol. 2017;4(3):111-122. doi: 10.4103/ijcep.ijcep_43_17.
3
Phlebotomy, a bridge between laboratory and patient.静脉穿刺术,实验室与患者之间的桥梁。
Biochem Med (Zagreb). 2016;26(1):17-33. doi: 10.11613/BM.2016.002.
4
Incorrect order of draw could be mitigate the patient safety: a phlebotomy management case report.采血顺序不当可能会危及患者安全:一个采血管管理案例报告。
Biochem Med (Zagreb). 2013;23(2):218-23. doi: 10.11613/bm.2013.026.