Jayawardena Suriya, Burzyantseva Olga, Shetty Sanjay, Niranjan Selvanayagam, Khanna Ashoke
Coney Island Hospital/Maimonides Medical Center, 2601 Ocean Parkway, Brooklyn, NY 11235, USA.
Cases J. 2008 Oct 10;1(1):232. doi: 10.1186/1757-1626-1-232.
Hyperkalaemic paralysis due to renal failure is a rare but potentially life threatening event.
We present a patient who had sudden onset ascending flaccid paralysis. The EMS first diagnosis was acute ST-elevation myocardial infarction based on an EKG. In the emergency room (ER) due to careful history taking, serum electrolytes and repeat EKG a correct diagnosis was made and both hyperkalemia and paralysis were treated on time.
Hyperkalaemic paralysis is rare. One must keep it in the back of the mind especially in the case of renal failure patients to avoid misdiagnosing a rapidly fatal but yet completely reversible condition.
肾衰竭所致高钾性麻痹是一种罕见但可能危及生命的事件。
我们报告一名突发上行性弛缓性麻痹的患者。急救医疗服务（EMS）最初根据心电图诊断为急性ST段抬高型心肌梗死。在急诊室（ER），由于仔细询问病史、检测血清电解质并复查心电图，做出了正确诊断，高钾血症和麻痹均得到及时治疗。
高钾性麻痹很罕见。尤其是对于肾衰竭患者，必须牢记这一情况，以避免误诊一种迅速致命但完全可逆转的病症。
