老年患者慢性腹泻致严重低钾血症合并横纹肌溶解症1例  

Severe hypokalemia complicated with rhabdomyolysis due to chronic diarrhea in an elderly patient

作　　者：何珂[1] 刘玲 卞荣蓉 陆西宛[1] 朱丽华[1] HE Ke;LIU Ling;BIAN Rongrong;LU Xiwan;ZHU Lihua(Department of Endocrinology,Wuxi Hospital of Traditional Chinese Medicine(Wuxi Hospital Affiliated to Nanjing University of Chinese Medicine),Jiangsu Province,Wuxi214000,China)

机构地区：[1]江苏省无锡市中医医院(南京中医药大学无锡附属医院)内分泌科

出　　处：《中国医药导报》2019年第24期166-168,共3页China Medical Herald

基　　金：江苏省无锡市卫计委青年项目(Q201749);江苏省中医药局科技项目(YB2017048)

摘　　要：低钾血症病因复杂,临床表现多样化,是临床上较为常见的电解质紊乱,而其并发的横纹肌溶解症的诊断极易被延误或漏诊,从而影响其预后。本文报道了无锡市中医医院收治的1例慢性腹泻所致的严重低钾血症合并横纹肌溶解症的老年患者,血钾最低为1.45 mmol/L,合并血清肌酸激酶(CK)及肌酸激酶同工酶(CK-MB)水平升高。予补钾、补液水化、利尿、抗氧化、稳定细胞膜等治疗,共补充氯化钾72 g,患者血钾恢复正常,CK、CK-MB水平逐步稳定。本文旨在分析总结病例资料,为指导低钾血症合并横纹肌溶解症的诊断和治疗提供借鉴。The etiology of hypokalaemia is a common clinical electrolyte disorder,which is complex and the clinical manifestations are diverse.The complication of rhabdomyolysis is prone to delayed diagnosis or missed diagnosis,thus affecting the prognosis.This paper reported a case of severe hypokalemia combined with rhabdomyolysis caused by chronic diarrhea in an elderly patient in Wuxi Hospital of Traditional Chinese Medicine,whose minimum potassium at 1.45 mmol/L,and rised levels of serum creatine kinase(CK),creatine kinase MB(CK-MB).After complementing potassium,hydration,diuresis,antioxidation and stabilizing cell membrane,a total of 72 g potassium chloride was supplied,then potassium returned to normal,and levels of CK,CK-MB gradually returned to stable.The purpose of this paper is to summarize the experiences of this kind of disease and give a guidance for diagnose and treatment in hypokalemia combined with rhabdomyolysis.

关 键 词：低钾血症 横纹肌溶解 腹泻 

分 类 号：R589.4[医药卫生—内分泌]