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Clinical analysis of hyperkalemia after esophagectomy: A case report
RATIONALE: The occurrence of hyperkalemia after esophagectomy is clinically rare. Patients who underwent esophagectomy often have a serum potassium level due to perioperative reduced intake, fluids loss, consumption and other reasons. These patients often require the artificial administration of pot...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728801/ https://www.ncbi.nlm.nih.gov/pubmed/29310400 http://dx.doi.org/10.1097/MD.0000000000008966 |
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author | Chen, Qiang Zhang, Wei-Guo Chen, Shu-Chang |
author_facet | Chen, Qiang Zhang, Wei-Guo Chen, Shu-Chang |
author_sort | Chen, Qiang |
collection | PubMed |
description | RATIONALE: The occurrence of hyperkalemia after esophagectomy is clinically rare. Patients who underwent esophagectomy often have a serum potassium level due to perioperative reduced intake, fluids loss, consumption and other reasons. These patients often require the artificial administration of potassium. Rapid fluid loss and physiological consumption lead to the deficiency of potassium, even hypokalemia. Patients often require the addition of a large amount of potassium after operation. The occurrence of hyperkalemia after esophagectomy is never been reported. PATIENT CONCERNS: The patient presented with continuous tachycardia, palpitations, chest tightness, progressive nausea, irritability, progressive myasthenia gravis. DIAGNOSES: Hyperkalemia, sepsis, acidosis, diabetes, postoperative esophageal cancer. INTERVENTIONS: Prompt anti-infection treatment and the management of blood sugar, hemodialysis was performed to correct sthe acidosis and electrolyte disorder OUTCOMES: All symptoms were alleviated. LESSONS: : Therefore, there is a need to regularly test electrolytes, especially in patients with diabetes, as well as better blood glucose control. Attention should be paid to the potential of infection, and to avoiding ketoacidosis and risk of sepsis. |
format | Online Article Text |
id | pubmed-5728801 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-57288012017-12-20 Clinical analysis of hyperkalemia after esophagectomy: A case report Chen, Qiang Zhang, Wei-Guo Chen, Shu-Chang Medicine (Baltimore) 7100 RATIONALE: The occurrence of hyperkalemia after esophagectomy is clinically rare. Patients who underwent esophagectomy often have a serum potassium level due to perioperative reduced intake, fluids loss, consumption and other reasons. These patients often require the artificial administration of potassium. Rapid fluid loss and physiological consumption lead to the deficiency of potassium, even hypokalemia. Patients often require the addition of a large amount of potassium after operation. The occurrence of hyperkalemia after esophagectomy is never been reported. PATIENT CONCERNS: The patient presented with continuous tachycardia, palpitations, chest tightness, progressive nausea, irritability, progressive myasthenia gravis. DIAGNOSES: Hyperkalemia, sepsis, acidosis, diabetes, postoperative esophageal cancer. INTERVENTIONS: Prompt anti-infection treatment and the management of blood sugar, hemodialysis was performed to correct sthe acidosis and electrolyte disorder OUTCOMES: All symptoms were alleviated. LESSONS: : Therefore, there is a need to regularly test electrolytes, especially in patients with diabetes, as well as better blood glucose control. Attention should be paid to the potential of infection, and to avoiding ketoacidosis and risk of sepsis. Wolters Kluwer Health 2017-12-01 /pmc/articles/PMC5728801/ /pubmed/29310400 http://dx.doi.org/10.1097/MD.0000000000008966 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 |
spellingShingle | 7100 Chen, Qiang Zhang, Wei-Guo Chen, Shu-Chang Clinical analysis of hyperkalemia after esophagectomy: A case report |
title | Clinical analysis of hyperkalemia after esophagectomy: A case report |
title_full | Clinical analysis of hyperkalemia after esophagectomy: A case report |
title_fullStr | Clinical analysis of hyperkalemia after esophagectomy: A case report |
title_full_unstemmed | Clinical analysis of hyperkalemia after esophagectomy: A case report |
title_short | Clinical analysis of hyperkalemia after esophagectomy: A case report |
title_sort | clinical analysis of hyperkalemia after esophagectomy: a case report |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728801/ https://www.ncbi.nlm.nih.gov/pubmed/29310400 http://dx.doi.org/10.1097/MD.0000000000008966 |
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