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一名接受血液透析的患者出现高钾血症性复发性双侧下肢无力。

Hyperkalemic recurrent bilateral lower extremity weakness in a patient on hemodialysis.

作者信息

Hassen Getaw Worku, Newstead Suzanne, Giordano Lorraine Maria

机构信息

Department of Emergency Medicine, Metropolitan Hospital Center, NYMC, 1901 First Avenue, New York, NY 10029, USA.

出版信息

Case Rep Emerg Med. 2012;2012:243501. doi: 10.1155/2012/243501. Epub 2012 May 13.

DOI:10.1155/2012/243501
PMID:23326707
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3542952/
Abstract

Hyperkalemia is a severe life-threatening electrolyte disorder that commonly affects the cardiac conductivity and contractility. Ascending paralysis affecting the extremities with focal neurological deficit as well as quadriparesis and a seizure associated with hyperkalemia has been reported in the literature. Here, we describe a case of isolated recurrent lower extremity paralysis and an episode of seizure in an 83-year-old patient with end-stage renal disease on hemodialysis.

摘要

高钾血症是一种严重的、危及生命的电解质紊乱，通常会影响心脏的传导性和收缩性。文献报道过高钾血症伴有肢体上升性麻痹、局灶性神经功能缺损、四肢瘫痪及癫痫发作。在此，我们描述一例83岁接受血液透析的终末期肾病患者，出现孤立性复发性下肢麻痹及一次癫痫发作的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0975/3542952/db448ea465ce/CRIM.EM2012-243501.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0975/3542952/db448ea465ce/CRIM.EM2012-243501.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0975/3542952/db448ea465ce/CRIM.EM2012-243501.001.jpg

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Hyperkalemic recurrent bilateral lower extremity weakness in a patient on hemodialysis.一名接受血液透析的患者出现高钾血症性复发性双侧下肢无力。
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本文引用的文献

1
Suxamethonium-induced hyperkalaemia in a patient with a normal potassium level before rapid-sequence intubation.快速顺序诱导插管前血钾水平正常的患者出现琥珀酰胆碱诱导的高钾血症。
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Acute hyperkalemic paralysis in a uremic patient.
J Nephrol. 2005 Sep-Oct;18(5):630-3.
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Hyperkalaemic ascending paralysis.
高钾性上行性麻痹
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Hyperkalemic ascending paralysis.高钾性上行性麻痹
Ann Emerg Med. 1998 Jul;32(1):104-7. doi: 10.1016/s0196-0644(98)70107-6.
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Secondary hyperkalaemic paralysis.继发性高钾性麻痹。
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8
[Familial hyperkalemic periodic paralysis: a brief review of the adult human skeletal muscle sodium channel and the application of LA-PCR to the SCN4A gene analysis].[家族性高钾性周期性麻痹：成人人类骨骼肌钠通道简述及连接介导的聚合酶链反应在SCN4A基因分析中的应用]
Nihon Rinsho. 1997 Dec;55(12):3253-8.
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Reversible hemiplegia as a consequence of severe hyperkalemia and cocaine abuse in a hemodialysis patient.
Am J Med Sci. 1997 Dec;314(6):408-10. doi: 10.1097/00000441-199712000-00010.
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Tonic convulsion associated with sinus arrest due to hyperkalemia in a chronic hemodialysis patient.一名慢性血液透析患者因高钾血症出现与窦性停搏相关的强直性惊厥。
Nephron. 1996;73(2):370-1. doi: 10.1159/000189093.