Freeman S J, Fale A D
Department of Medicine, Southmead Hospital.
Br J Anaesth. 1993 Feb;70(2):226-7. doi: 10.1093/bja/70.2.226.
We report the history of a diabetic man presenting with hyperkalaemia and rapidly progressing muscular paralysis with severe respiratory embarrassment. His symptoms resolved rapidly with reduction of the serum potassium concentration. Similar cases have been reported previously but this is a problem that few will have encountered and is a diagnosis which should not be overlooked before artificial ventilation is commenced.
我们报告了一名糖尿病男性患者的病史，该患者出现高钾血症，并伴有迅速进展的肌肉麻痹及严重的呼吸窘迫。随着血清钾浓度降低，他的症状迅速缓解。此前已有类似病例报道，但这是一个很少有人会遇到的问题，并且在开始人工通气之前，这是一个不应被忽视的诊断。
