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严重低钾血症所致膈肌功能障碍的膈肌超声检查

Ultrasound of the diaphragm in severe hypokalemia induced diaphragmatic dysfunction.

作者信息

Shrestha Gentle Sunder, Rajbhandari Shayuja

机构信息

Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal.

Department of Critical Care Medicine, Alka Hospital Pvt. Ltd., Lalitpur, Nepal.

出版信息

Lung India. 2017 Nov-Dec;34(6):552-554. doi: 10.4103/lungindia.lungindia_4_17.

DOI:10.4103/lungindia.lungindia_4_17
PMID:29099003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5684815/
Abstract

Severe hypokalemia presents with significant muscle weakness and involvement of respiratory muscles. Bedside ultrasonography of the diaphragm is emerging as a noninvasive bedside tool for diagnosis and followup of diaphragmatic dysfunction due to various causes. Here, we present a case of diaphragmatic dysfunction due to severe hypokalemia. The patient presented with acute onset quadriparesis that rapidly improved with correction of hypokalemia. The clinical and laboratory parameters correlated well with the findings of diaphragm ultrasound, both initially and after correction of hypokalemia.

摘要

严重低钾血症表现为明显的肌肉无力并累及呼吸肌。床边膈肌超声正逐渐成为一种用于诊断和随访各种原因所致膈肌功能障碍的无创床边工具。在此，我们报告一例因严重低钾血症导致膈肌功能障碍的病例。该患者表现为急性起病的四肢瘫，低钾血症纠正后迅速好转。临床和实验室参数在最初及低钾血症纠正后均与膈肌超声检查结果密切相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a93/5684815/e2ca1a527427/LI-34-552-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a93/5684815/e0e76e16875b/LI-34-552-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a93/5684815/4d7c545c64c6/LI-34-552-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a93/5684815/e2ca1a527427/LI-34-552-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a93/5684815/e0e76e16875b/LI-34-552-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a93/5684815/4d7c545c64c6/LI-34-552-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a93/5684815/e2ca1a527427/LI-34-552-g003.jpg

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本文引用的文献

1
Bedside sonographic evaluation of the diaphragm in ventilator dependent patients with amyotrophic lateral sclerosis. A report of two cases.对依赖呼吸机的肌萎缩侧索硬化症患者膈肌的床边超声评估。两例报告。
Nepal Med Coll J. 2014 Sep;16(1):95-8.
2
Diaphragm breathing movement measurement using ultrasound and radiographic imaging: a concurrent validity.使用超声和放射成像测量膈肌呼吸运动：一种同时效度。
Biomed Mater Eng. 2014;24(1):947-52. doi: 10.3233/BME-130889.
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Sonographic evaluation of the diaphragm in critically ill patients. Technique and clinical applications.
超声评估危重症患者的膈肌：技术与临床应用。
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Mapping of the hypokalaemic periodic paralysis (HypoPP) locus to chromosome 1q31-32 in three European families.在三个欧洲家族中将低钾性周期性麻痹（HypoPP）基因座定位到1号染色体的1q31 - 32区域。
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