腹腔镜脾切除术中突发无症状高钾血症1例
Sudden asymptomatic hyperkalemia during laparoscopic splenectomy:one case
张琳 1杨瑞1
作者信息
- 1. 陕西省人民医院麻醉科,西安 710068
- 折叠
摘要
急性高钾血症是严重的电解质失调,可引起心律失常,危及患者生命.文章报道1例腹腔镜脾切除术中的麻醉管理资料.患者术前诊断为上消化道出血,慢性肝硬化失代偿期.术前血清电解质正常.麻醉方式为气管插管全麻,术中测血气发现K+突然严重升高,然而生命体征平稳,排除假性高钾血症后立即降钾治疗.术后患者安全苏醒,次日血钾降至正常范围.文章讨论并分析出现高钾血症的可能原因,以指导临床工作.
Abstract
Acute hyperkalemia is a severe electrolyte imbalance that can cause cardiac arrhythmias and endanger the patient's life.This article reports the anesthetic management information in a laparoscopic splenectomy case.The patient's preoperative diagno-sis was upper gastrointestinal bleeding and chronic liver cirrhosis with decompensated stage.Preoperative serum electrolytes were nor-mal.The anesthesia mode was general anesthesia by tracheal intubation.Intraoperative blood gas measurement revealed a sudden and severe elevation of potassium;however,the vital signs were stable,and potassium-lowering treatment was immediately administered af-ter ruling out pseudohyperkalemia.After the operation,the patient woke up safely,and the next day,the blood potassium was reduced to the normal range.This paper discusses and analyzes the possible causes of hyperkalemia to guide clinical work.
关键词
高钾血症/肝硬化/脾切除术Key words
Hyperkalemia/Cirrhosis/Splenectomy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据