Jarman P R, Kehely A M, Mather H M
Ealing Hospital, Southall, Middlesex, UK.
Postgrad Med J. 1995 Sep;71(839):551-2. doi: 10.1136/pgmj.71.839.551.
Hyperkalaemia is associated with diabetes, but there are no recent reports of its prevalence and associations. Serum potassium concentrations were measured in all 1764 patients attending a diabetic clinic over a 12-month period and found to be > 5.0 mmol/l in 270 (15%), and > 5.4 mmol/l in 67 (4%). There was no other evident cause of hyperkalaemia in 41 of these 67 patients. These data serve to highlight the risk of dangerous hyperkalaemia in diabetic patients, particularly with concurrent administration of angiotensin-converting-enzyme inhibitors and potassium-sparing diuretics.
高钾血症与糖尿病相关，但近期尚无关于其患病率及关联因素的报道。在为期12个月的时间里，对一家糖尿病诊所的1764例患者均进行了血清钾浓度检测，结果发现，270例（15%）患者的血清钾浓度>5.0 mmol/L，67例（4%）患者的血清钾浓度>5.4 mmol/L。在这67例患者中，有41例未发现其他明显的高钾血症病因。这些数据凸显了糖尿病患者发生危险的高钾血症的风险，尤其是在同时使用血管紧张素转换酶抑制剂和保钾利尿剂的情况下。
