何珂 刘玲 卞荣蓉 陆西宛 朱丽华

    [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。

    [关键词] 低钾血症;横纹肌溶解;腹泻

    [中图分类号] R589.4? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2019)08(c)-0166-03

    [Abstract] 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 ......