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主要表现为单纯性麻痹的严重危及生命的低钾血症：来自埃塞俄比亚的病例系列

Severe Life-Threatening Hypokalemia Primarily Presented With Isolated Paralysis: Case Series From Ethiopia.

作者信息

Alemu Getasew Kassaw, Asfaw Seid Arage, Asres Lisanne Seifu, Kassa Beniam Yohannes

机构信息

Nephrology Unit, Department of Internal Medicine, School of Health Sciences Addis Ababa University Addis Ababa Ethiopia.

Fetomaternal Unit, Department of Obstetrics and Gynecology Unit, School of Health Sciences Addis Ababa University Addis Ababa Ethiopia.

出版信息

Clin Case Rep. 2025 Jan 6;13(1):e70062. doi: 10.1002/ccr3.70062. eCollection 2025 Jan.

DOI:10.1002/ccr3.70062
PMID:39776778
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11705490/
Abstract

Severe hypokalemia can primarily present as a weakness of the limbs, without any other clinical manifestation. A life-threatening level of decreased serum potassium level can be unusually present with isolated weakness of the limbs and might be misdiagnosed, or the diagnosis may be delayed.

摘要

严重低钾血症主要表现为肢体无力，无其他临床表现。危及生命的血清钾水平降低可能仅表现为孤立的肢体无力，可能会被误诊，或诊断延迟。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a17/11705490/b25316fc3424/CCR3-13-e70062-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a17/11705490/b25316fc3424/CCR3-13-e70062-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a17/11705490/b25316fc3424/CCR3-13-e70062-g001.jpg

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本文引用的文献

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Hyperemesis Gravidarum Presenting as Severe Hypokalemic Periodic Paralysis and Type II Respiratory Failure: A Different Form of Thyroid Storm?妊娠剧吐表现为严重低钾性周期性麻痹和Ⅱ型呼吸衰竭：一种不同形式的甲状腺危象？
Cureus. 2021 Nov 14;13(11):e19566. doi: 10.7759/cureus.19566. eCollection 2021 Nov.
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A Case of Severe Hypokalemia.一例严重低钾血症病例。
Am J Kidney Dis. 2020 Jul;76(1):A9-A12. doi: 10.1053/j.ajkd.2019.12.020.
3
Hypokalemia: a clinical update.低钾血症：临床最新进展
Endocr Connect. 2018 Apr;7(4):R135-R146. doi: 10.1530/EC-18-0109. Epub 2018 Mar 14.
4
Severe hypokalaemia as a cause of acute transient quadriparesis.严重低钾血症作为急性短暂性四肢瘫的病因
BMJ Case Rep. 2017 Jul 27;2017:bcr-2017-220735. doi: 10.1136/bcr-2017-220735.
5
Etiologic and therapeutic analysis in patients with hypokalemic nonperiodic paralysis.低钾型周期性麻痹患者的病因和治疗分析。
Am J Med. 2015 Mar;128(3):289-96.e1. doi: 10.1016/j.amjmed.2014.09.027. Epub 2014 Oct 15.
6
Life-threatening hypokalemic paralysis in a young bodybuilder.一名年轻健美运动员出现危及生命的低钾性麻痹。
Case Rep Endocrinol. 2014;2014:483835. doi: 10.1155/2014/483835. Epub 2014 Feb 11.
7
Etiology and symptoms of severe hypokalemia in emergency department patients.急诊科严重低钾血症的病因和症状。
Eur J Emerg Med. 2014 Feb;21(1):46-51. doi: 10.1097/MEJ.0b013e3283643801.
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Pathophysiology and management of hypokalemia: a clinical perspective.低血钾症的病理生理学和治疗：临床视角。
Nat Rev Nephrol. 2011 Feb;7(2):75-84. doi: 10.1038/nrneph.2010.175.
9
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Postgrad Med J. 2010 Dec;86(1022):692-5. doi: 10.1136/pgmj.2010.104026. Epub 2010 Oct 10.
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