极为罕见的高钾血症病因:极低出生体重儿回肠造口术诱发的高钾血症。

Mehmet Mutlu, Yakup Aslan, Şebnem Kader, Emine Ayça Cimbek, Gül Şalcı
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引用次数: 0

摘要

背景:高钾血症是最严重的电解质紊乱之一,可导致致命性心律失常。虽然成人中也有回肠造口术引起高钾血症的报道,但就我们所知,以前从未有新生儿出现高钾血症的报道:病例:我们报告了两个极低出生体重儿(ELBW)的回肠造口术诱发高钾血症的病例,这两个婴儿的出生体重分别为 850 克和 840 克,胎龄分别为 27 周和 27 周 6 天:这些病例突出表明,ELBW 婴儿肠道完整性的破坏可能会导致高钾血症。在治疗回肠造口术 ELBW 婴儿的电解质紊乱(如高钾血症)时,确保胃肠道的完整性起着重要作用。
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Extremely rare cause of hyperkalemia: ileostomy‒induced hyperkalemia in extremely low birth weight infants.

Background: Hyperkalemia is one of the most serious electrolyte disturbances, and it can cause lethal cardiac arrhythmia. Although hyperkalemia associated with ileostomies has been reported in adults, to the best of our knowledge, it has not previously been reported in neonates.

Case: We report ileostomy‒induced hyperkalemia that persisted during the ileostomy and resolved promptly after the closure of the ileostomy in two extremely low birth weight (ELBW) infants, with birth weights of 850 g and 840 g and gestational ages of 27 weeks and 27 weeks 6 days.

Conclusions: These cases highlight that disruption of intestinal integrity in ELBW infants may cause hyperkalemia. Ensuring the integrity of the gastrointestinal tract plays an important role in the treatment of electrolyte disorders such as hyperkalemia in ELBW infants with an ileostomy.

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