Kim Alice, Biteman Benjamin, Malik Umer F, Siddique Shahzad, Martin Mersadies R, Ali Syed A, Maboud Nadeem, Raja Sabiya, Zachry Alison, Mahmoud Ahmed
Department of Internal Medicine, San Joaquin General Hospital (West Hospital Road), French Camp, Ca(95231), USA.
Cases J. 2010 Feb 25;3:73. doi: 10.1186/1757-1626-3-73.
Pseudohyperkalemia can appear in a variety of settings and should be recognized early. Treatment of pseudohyperkalemia can lead to an inappropriate decrease of actual serum potassium levels which may lead to life threatening conditions. In the case presented, an 81-year-old male presented with massive leucocytosis and an extremely elevated potassium level. This case report emphasizes the importance of recognizing pseudohyperkalemia in a patient with a severely increased potassium and WBC level; such patients may be clinically asymptomatic or may have a normal ECG.
假性高钾血症可出现在多种情况下,应尽早识别。治疗假性高钾血症可能导致实际血清钾水平不适当降低,这可能会导致危及生命的情况。在本病例中,一名81岁男性出现大量白细胞增多和钾水平极度升高。本病例报告强调了在血钾和白细胞水平严重升高的患者中识别假性高钾血症的重要性;此类患者可能临床上无症状或心电图正常。