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高钾血症的鉴别诊断:复杂问题的最新进展。

Differential diagnosis of hyperkalemia: an update to a complex problem.

作者信息

Eleftheriadis T, Leivaditis K, Antoniadi G, Liakopoulos V

机构信息

Department of Nephrology, Medical School, University of Thessaly, Larissa, Greece.

出版信息

Hippokratia. 2012 Oct;16(4):294-302.

Abstract

Hyperkalemia is a relative common and sometimes life threatening electorlyte disorder. Although its symptomatic treatment is relatively easy, since precise therapeutic algorithms are available, its differential diagnosis is more complicated. The present review aims to unfold the differential diagnosis of hypekalemia using a pathophysiological, albeit clinically useful, approach. The basic elements of potassium homeostasis are provided, the causes of hyperkalemia are categorized and analysed and finally the required for the diferrential diagnosis laboratory tests are mentioned.

摘要

高钾血症是一种相对常见且有时会危及生命的电解质紊乱。尽管其对症治疗相对容易,因为有精确的治疗算法可用,但其鉴别诊断更为复杂。本综述旨在采用一种病理生理学方法(尽管对临床有用)来阐述高钾血症的鉴别诊断。文中介绍了钾稳态的基本要素,对高钾血症的病因进行了分类和分析,最后提及了鉴别诊断所需的实验室检查。

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