重度低钾血症继发横纹肌溶解伴右下肢无力1例  

A case of rhabdomyolysis with right lower limb weakness secondary to severe hypokalemia

作　　者：胡孝平 雷瑛瑛 李蕊[4] Hu Xiaoping;Lei Yingying;Li Rui(Graduate School,Guizhou University of Traditional Chinese Medicine,Guiyang 550000,China;Department of Senile,Second Hospital,Guizhou University of Traditional Chinese Medicine,Guiyang 550000,China;Department of Pharmacy,Nanbu County People's Hospital,Nanchong 637300,China;Department of Traditional Chinese Medicine,Guizhou Provincial People's Hospital,Guiyang 550000,China)

机构地区：[1]贵州中医药大学研究生院,贵阳550000 [2]贵州中医药大学第二附属医院老年病科,贵阳550000 [3]南部县人民医院药学部,南充637300 [4]贵州省人民医院中医科,贵阳550000

出　　处：《国际医药卫生导报》2023年第10期1446-1448,共3页International Medicine and Health Guidance News

摘　　要：报道1例低钾血症致横纹肌溶解以右下无力为首诊表现的病例。患者于2022年11月2日因“突发右下肢无力3.2 h”,经贵州中医药大学第二附属医院以“脑梗死急性期?”入院,入院查体:右下肢肌力Ⅲ级,右下肢浅感觉稍减退,右侧Babinski征(±)。既往有“高血压”病史并规律口服“厄贝沙坦氢氯噻嗪片”。住院期间患者顽固性低钾血症,在第3天后逐渐出现双下肢无力、尿液呈茶色,肌酸激酶(CK)指标最高值6955 U/L,确诊为“低钾血症致横纹肌溶解”。患者经大量补钾治疗后CK、钾离子(K^(+))指标和临床症状恢复正常后出院。A case of rhabdomyolysis due to hypokalemia with weakness in the right lower limb was reported.On November 2,2022,due to"sudden right lower limb weakness for 3.2 hours",the patient was admitted by Second Hospital,Guizhou University of Traditional Chinese Medicine as"acute stage of cerebral infarction?".The physical examination on admission showed the right lower limb muscle strength levelⅢ,slightly decreased shallow sensation of the right lower limb,and right Babinski sign(±).He had a history of hypertension and regularly took irbesartan hydrochlorothiazide tablets.During the hospitalization,the patient had intractable hypokalemia.After the third day,the patient gradually developed weakness in both lower limbs and brown urine,and the highest creatine kinase(CK)level was 6955 U/L;he was confirmed as rhabdomyolysis caused by hypokalemia.The CK,K^(+),and clinical symptoms returned to normal after massive potassium supplementation,and the patient was discharged.

关 键 词：横纹肌溶解 低钾血症 肢体无力 病例报告 

分 类 号：R746[医药卫生—神经病学与精神病学]