高钾血症引起肾功能不全患者严重肌无力

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Gomal Journal of Medical Sciences Pub Date : 2021-09-30 DOI:10.46903/gjms/19.03.1034
Patel Harshvardhan Anilbhai, N. Anuradha, Viknesh Prabhu, V. Jayaraman, K. Vignesh
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引用次数: 0

摘要

在肾功能不全患者中,高钾血症是最常见的电解质失衡之一,而在健康人中并不常见。当给予钾或与保钾利尿剂联合使用时,这种情况发生得很快。它通常不会产生任何体征和症状,并通过正常的血液调查进行鉴定。高钾血症会导致心脏传导不良和肌肉无力等症状。另一方面,肌肉无力作为一种临床表现,在临床实践中并不常见。这可能是因为心脏症状经常比肌肉无力更早出现,即使在钾浓度达到导致虚弱的水平之前,也必须实施适当的干预措施。我们报告了一例肾功能不全患者因极度高钾血症而出现急性肌肉无力,在服用保钾利尿剂后迅速恢复。
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HYPERKALEMIA CAUSING SEVERE MUSCLE WEAKNESS IN A PATIENT WITH RENAL INSUFFICIENCY
In individuals with renal insufficiency, hyperkalaemia is one of the most common electrolyte imbalances, whereas it is uncommon in healthy people. When potassium is given or combined with a potassium-sparing diuretic, it happens quickly. It usually does not produce any signs and symptoms and is identified with normal blood investigations. Hyperkalemia causes faulty heart conduction and muscle weakness, among other symptoms. Muscle weakness as a clinical manifestation, on the other hand, is infrequent in clinical practise. This could be due to the fact that cardiac symptoms frequently appear earlier than weakness of muscles, necessitating the implementation of suitable interventions even before potassium concentration reaches a level that causes weakness. We present a case in which a patient with renal insufficiency had acute weakness of muscles as a result of extreme hyperkalaemia that acquired fast recovery after potassium and potassium-sparing diuretic administration.
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来源期刊
Gomal Journal of Medical Sciences
Gomal Journal of Medical Sciences MEDICINE, GENERAL & INTERNAL-
CiteScore
0.60
自引率
80.00%
发文量
37
审稿时长
40 weeks
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