Liang Luke, Alder Madeleine, Gorrindo Phil, Toledo Paloma
From the Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Center for Healthcare Studies, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
A A Pract. 2019 Sep 1;13(5):190-192. doi: 10.1213/XAA.0000000000001031.
Pregnancy in the setting of renal failure has higher rates of adverse events necessitating increased monitoring and treatment. Pregnant women with end-stage renal disease have higher rates of hypertension, and 50% of pregnancies are complicated by preeclampsia. We describe the case of a 32-year-old parturient with end-stage renal disease on hemodialysis with superimposed preeclampsia who developed clinically significant hyperkalemia with electrocardiographic changes after magnesium infusion. The magnesium infusion was stopped, and the patient underwent emergent hemodialysis with subsequent improvement. Hyperkalemia caused by magnesium infusion is a rare and not very well-understood phenomenon.
肾衰竭情况下的妊娠有更高的不良事件发生率，需要加强监测和治疗。患有终末期肾病的孕妇高血压发生率更高，50%的妊娠并发子痫前期。我们描述了一名32岁的患有终末期肾病且正在接受血液透析的产妇，并发子痫前期，在输注镁后出现具有临床意义的高钾血症并伴有心电图改变。停止输注镁后，患者接受了紧急血液透析，随后病情好转。输注镁引起的高钾血症是一种罕见且了解不多的现象。
