Severe hypokalemia complicated with rhabdomyolysis due to chronic diarrhea in an elderly patient
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, Wuxi 214000, China
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, 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.
何珂 刘玲 卞荣蓉 陆西宛 朱丽华. 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[J]. 中国医药导报, 2019, 16(24): 166-168.
HE Ke LIU Ling BIAN Rongrong LU Xiwan ZHU Lihua. Severe hypokalemia complicated with rhabdomyolysis due to chronic diarrhea in an elderly patient. 中国医药导报, 2019, 16(24): 166-168.
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2019, Vol. 16 
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