Matsuda Junna, Shimizu Tetsunosuke, Kittaka Tadahiro, Fukuda Makiko, Akimoto Hiroshi
Osaka Mishima Emergency Critical Care Center, Osaka, Japan.
Osaka Mishima Emergency Critical Care Center, Osaka, Japan.
Am J Emerg Med. 2014 Nov;32(11):1440.e1-2. doi: 10.1016/j.ajem.2014.04.012. Epub 2014 Apr 16.
Hyperkalemia due to crush syndrome after trauma is a well known fatal clinical condition, but early hyperkalemia with hemorrhage after trauma is a rare phenomenon. We report on a 5-year-old boy who bruised from the lumbers, had cardiopulmonary arrest caused by hyperkalemia, and underwent perihepatic packing twice before being discharged without any neurologic deficits. Clinicians should be vigilant for signs of hyperkalemia accompanying hemorrhagic shock, even in the early phase of trauma.
创伤后挤压综合征所致高钾血症是一种众所周知的致命临床病症，但创伤后早期伴出血的高钾血症则是一种罕见现象。我们报告了一名5岁男孩，他腰部受到挫伤，因高钾血症导致心肺骤停，在出院时无任何神经功能缺损之前接受了两次肝周填塞术。临床医生即使在创伤早期也应警惕出血性休克伴发高钾血症的迹象。
