Tapiawala S, Badve S V, More N, Shah B V
Dept. of Medicine and Nephrology, PD Hinduja National Hospital and Medical Research Centre, Mumbai.
J Assoc Physicians India. 2004 Jun;52:505-6.
Hyperkalemia is a commonly encountered electrolyte disturbance in patients with renal insufficiency. It develops very rapidly when potassium is supplemented while a patient is on a potassium-sparing diuretic. Most often it remains asymptomatic and manifests in the form of electrocardiographic changes. Muscle weakness and paralysis although described is seldom observed in clinical practice. We report one such case.
高钾血症是肾功能不全患者常见的电解质紊乱。在患者使用保钾利尿剂时补钾，高钾血症会迅速发展。多数情况下，它没有症状，以心电图改变的形式表现出来。虽然有文献描述过肌肉无力和麻痹，但在临床实践中很少见到。我们报告这样一个病例。
