Kellerman Paul S, Thornbery James M
Division of Nephrology, University of Wisconsin School of Medicine, Madison, WI 53713, USA.
Am J Kidney Dis. 2005 Oct;46(4):746-8. doi: 10.1053/j.ajkd.2005.06.005.
Pseudohyperkalemia is an elevation in measured serum or plasma potassium levels caused by mechanical release of potassium from cells during phlebotomy or specimen processing. We describe a case of pseudohyperkalemia caused by mechanical disruption of white blood cells from a leukemic patient because of pneumatic tube transport of the specimen. This is the first description of pneumatic tube transport causing pseudohyperkalemia, and clinicians should be aware of this potential cause of false elevation of plasma potassium levels.
假性高钾血症是指在静脉穿刺采血或标本处理过程中,细胞内钾因机械作用释放而导致测得的血清或血浆钾水平升高。我们描述了一例因标本经气动管道传输导致白血病患者白细胞机械性破坏而引起的假性高钾血症病例。这是关于气动管道传输导致假性高钾血症的首次描述,临床医生应意识到这是血浆钾水平假性升高的一个潜在原因。