因胃造口管不当丢失导致的严重碱中毒和QT间期延长：一例报告
Profound Alkalosis and Prolonged QT Interval Due to Inappropriate Gastrostomy Tube Loss: A Case Report.
作者信息
Turner Forrest, Friedman Brandon, Pendell Meyers H, Smith Stephen W
机构信息
Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina.
Hennepin Healthcare and University of Minnesota School of Medicine, Department of Emergency Medicine, Minneapolis, Minnesota.
出版信息
Clin Pract Cases Emerg Med. 2024 May;8(2):138-142. doi: 10.5811/cpcem.1519.
INTRODUCTION
Severe metabolic alkaloses are relatively rare but can carry a high mortality rate. Treatment involves supportive care and treatment of underlying causes.
CASE REPORT
A 55-year-old male dependent on a gastrojejunostomy tube presented to the emergency department for altered mental status. The patient had metabolic alkalosis, electrolyte abnormalities, and prolonged QT interval on electrocardiogram. Examination and history revealed that chronic drainage of gastric fluid via malfunctioning a gastrojejunostomy tube resulted in profound alkalosis. The patient recovered with supportive care, electrolyte repletion, and gastrojejunostomy tube replacement.
CONCLUSION
This case highlights the importance of gastrointestinal acid-base pathophysiology.
引言
严重代谢性碱中毒相对少见，但死亡率可能很高。治疗包括支持治疗和对潜在病因的治疗。
病例报告
一名55岁依赖胃空肠造口管的男性因精神状态改变被送往急诊科。该患者存在代谢性碱中毒、电解质异常，心电图显示QT间期延长。检查和病史显示，通过功能不良的胃空肠造口管长期引流胃液导致了严重碱中毒。患者经支持治疗、补充电解质及更换胃空肠造口管后康复。
结论
本病例突出了胃肠酸碱病理生理学的重要性。
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