低钾血症昏迷
Hypokalaemic coma.
作者信息
Phelan D M, Worthley L I
出版信息
Intensive Care Med. 1985;11(5):257-8. doi: 10.1007/BF00260359.
PMID:4067062
Abstract
A 55-year-old woman with renal tubular acidosis and urinary potassium wasting became comatose and subsequently fitted when her plasma potassium level fell to 0.9 mmol/l. Her neurological state resolved with potassium therapy. She had no other recognised cause for her coma. It appears that coma represents the extreme of the spectrum of neurological change that may occur in association with hypokalaemia.
摘要
一名55岁患有肾小管酸中毒和尿钾流失的女性，在血浆钾水平降至0.9 mmol/L时陷入昏迷，随后出现癫痫发作。经补钾治疗后，她的神经状态恢复正常。她的昏迷没有其他已知病因。看来昏迷代表了与低钾血症相关的可能发生的神经变化谱中的极端情况。
相似文献
1
Hypokalaemic coma.
Intensive Care Med. 1985;11(5):257-8. doi: 10.1007/BF00260359.
2
[Hypokalemic quadriplegia and coma in renal tubular acidosis].
Ann Fr Anesth Reanim. 1989;8(2):133-6. doi: 10.1016/s0750-7658(89)80166-2.
3
Acute respiratory failure due to hypokalaemic muscular paralysis from renal tubular acidosis.
Anaesth Intensive Care. 2005 Oct;33(5):656-8. doi: 10.1177/0310057X0503300517.
4
Rhabdomyolysis associated with hypokalaemic periodic paralysis of renal tubular acidosis.
Singapore Med J. 1990 Apr;31(2):159-61.
5
Life-threatening hypokalaemic paralysis associated with distal renal tubular acidosis.
Neth J Med. 2011 Jan;69(1):35-8.
6
Distal renal tubular acidosis with severe hypokalaemia, probably caused by colonic H(+)-K(+)-ATPase deficiency.
Arch Dis Child. 2001 Jun;84(6):504-7. doi: 10.1136/adc.84.6.504.
7
[Primary Sjögren's syndrome and hypokalaemic paralysis--case report].
Reumatizam. 2004;51(1):19-22.
8
Renal potassium wasting in distal renal tubular acidosis: role of aldosterone.
Intern Med. 1992 Aug;31(8):1047-51. doi: 10.2169/internalmedicine.31.1047.
9
[Severe hypokalemia with few symptoms disclosing distal renal tubular acidosis].
Ann Fr Anesth Reanim. 1989;8(4):355-6. doi: 10.1016/s0750-7658(89)80077-2.
10
Hypokalaemic muscle paralysis secondary to a sporadic form of type I renal tubular acidosis. A case report.
S Afr Med J. 1986 Feb 15;69(4):259-60.
引用本文的文献
1
Hypokalemic coma with tetany following pseudo-Bartter syndrome.
Intensive Care Med. 2000 Nov;26(11):1711. doi: 10.1007/s001340000688.
本文引用的文献
1
Intracellular and extracellular potassium deficits in surgical patients.
Ann Surg. 1952 Jul;136(1):111-31. doi: 10.1097/00000658-195207000-00012.
2
Efflux mechanism contributing to the stability of the potassium concentration in cerebrospinal fluid.
J Physiol. 1970 Jun;208(2):415-30. doi: 10.1113/jphysiol.1970.sp009128.
3
[Laxative abuse, hypokalemia and sympatomatic psychosis].
Verh Dtsch Ges Inn Med. 1969;75:738-40.
4
[Neuropsychiatric manifestations of hypokalemia].
Harefuah. 1976 Jan 15;90(2):78-9.
Zotero 插件