慢性淋巴细胞白血病患者的假性高钾血症
Pseudohyperkalemia in patients with chronic lymphocytic leukemia.
作者信息
Rifkin Stephen I
机构信息
Division of Nephrology, College of Medicine, University of South Florida, Tampa, FL 33606, USA.
出版信息
Int J Nephrol. 2011;2011:759749. doi: 10.4061/2011/759749. Epub 2011 Mar 23.
Abstract
Pseudohyperkalemia occurs occasionally in patients with extreme leukocytosis. Increased white blood cell fragility coupled with mechanical stress is felt to be causal. Serum and plasma potassium levels have been both associated with pseudohyperkalemia. Whole blood potassium determination will usually verify the correct diagnosis. It is important to diagnose this condition early so that patients are not inappropriately treated. Two patients with chronic lymphocytic leukemia and extreme leukocytosis are presented, one with pseudohyperkalemia and one with probable pseudohyperkalemia, and diagnostic considerations are discussed.
摘要
假性高钾血症偶尔会发生在白细胞极度增多的患者中。白细胞脆性增加以及机械应力被认为是其病因。血清和血浆钾水平均与假性高钾血症有关。全血钾测定通常能证实正确的诊断。早期诊断这种情况很重要，这样患者就不会接受不恰当的治疗。本文介绍了两名慢性淋巴细胞白血病伴白细胞极度增多的患者，其中一名患有假性高钾血症，另一名可能患有假性高钾血症，并讨论了诊断方面的考虑因素。
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本文引用的文献
1
The Case | Best not shaken or stirred! Chronic lymphocytic leukemia and hyperkalemia.
Kidney Int. 2010 Jan;77(2):167-8. doi: 10.1038/ki.2009.425.
2
Pneumatic transport is critical for leukaemic patients with major leukocytosis: what precautions to measure lactate dehydrogenase, potassium and aspartate aminotransferase?气动输送对患有严重白细胞增多症的白血病患者至关重要：应采取哪些预防措施来测量乳酸脱氢酶、钾和天门冬氨酸氨基转移酶？
Ann Clin Biochem. 2010 Jan;47(Pt 1):94-6. doi: 10.1258/acb.2009.009044. Epub 2009 Nov 25.
3
Pneumatic tube "pseudo tumor lysis syndrome" in chronic lymphocytic leukemia.
Am J Hematol. 2009 Sep;84(9):613-4. doi: 10.1002/ajh.21473.
4
Hyperleukocytosis: pseudohyperkalaemia and other biochemical abnormalities in hyperleukocytosis.高白细胞血症：高白细胞血症中的假性高钾血症及其他生化异常
Clin Chem Lab Med. 2009;47(7):880-1. doi: 10.1515/CCLM.2009.190.
5
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6
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J Clin Oncol. 2008 Jun 1;26(16):2781-2. doi: 10.1200/JCO.2008.16.3014.
7
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8
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10
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