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假性高钾血症病例系列:反应性血小板增多症癌症患者的诊断难题

A Case Series of Pseudohyperkalemia: A Diagnostic Dilemma in Cancer Patients With Reactive Thrombocytosis.

作者信息

More Ashwini, Parikh Prafulla, Kamtalwar Sujeet, Pagdhune Avinash

机构信息

General Medicine, Advanced Centre for Treatment, Research and Education in Cancer (ACTREC) Tata Memorial Centre, Navi Mumbai, IND.

Biochemistry, Advanced Centre for Treatment, Research and Education in Cancer (ACTREC) Tata Memorial Centre, Navi Mumbai, IND.

出版信息

Cureus. 2025 Apr 7;17(4):e81851. doi: 10.7759/cureus.81851. eCollection 2025 Apr.

Abstract

Hyperkalemia is a life-threatening condition if not treated urgently. However, certain conditions can cause pseudohyperkalemia and the treating physician must be able to distinguish between the two to prevent complications of overtreatment that can lead to hypokalemia, itself a life-threatening condition. One of the causes of pseudohyperkalemia is thrombocytosis. Here we present three cases of pseudohyperkalemia secondary to reactive thrombocytosis in cancer (solid malignancy) patients. This case series emphasizes the importance of recognizing pseudohyperkalemia from a physician's perspective to avoid inadvertent treatment.

摘要

高钾血症若不紧急治疗会危及生命。然而,某些情况可导致假性高钾血症,治疗医生必须能够区分这两者,以防止过度治疗引发的并发症,过度治疗可能导致低钾血症,而低钾血症本身也是一种危及生命的状况。假性高钾血症的病因之一是血小板增多症。在此,我们呈现三例癌症(实体恶性肿瘤)患者因反应性血小板增多症继发假性高钾血症的病例。本病例系列强调了从医生角度认识假性高钾血症以避免不当治疗的重要性。

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本文引用的文献

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Pseudohyperkalemia: Look before you treat.假性高钾血症:治疗前先查明情况。
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