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英国利物浦Broadgreen 医院报道了两例肾功能正常患者服用枸橼酸锌合剂引起高血钾。一例是一个去掉导管后感到排尿困难的老年患者,每天4次每次10ml 口服英国药典标准的枸橼酸钾合剂和甲氧苄氨嘧啶,五天后,开始觉得恶心,呕吐,并伴有心电图异常,治疗开始时血钾在正常范围(3.5~5mmol/L),治疗后发现血钾上升为8.6mmol/L,而尿素和肌酐水平却在正常范围内。另一例是一位尿道感染的女性患者,医生给她服用先锋霉素Ⅳ号,而她自己频繁用枸橼酸钾合剂治疗排尿困难约一个星期,因虚弱乏力住进医院,经检查其心电图异常,血钾为8.8mmol/L,血清尿素设
Liverpool, UK Broadgreen Hospital reported two patients with normal renal function taking zinc citrate mixture caused by hyperkalemia. One example is an elderly patient who feels dysmotility after removal of the catheter. She takes 4 times a day 10ml of the British Pharmacopoeia potassium citrate and trimethoprim, and after 5 days she starts to feel nausea and vomiting accompanied by abnormal electrocardiogram , The beginning of treatment serum potassium in the normal range (3.5 ~ 5mmol / L), after treatment found that serum potassium increased to 8.6mmol / L, while the urea and creatinine levels are within the normal range. Another example is a female patient with urinary tract infection, the doctor took her to take cephalosporin IV, and she frequently used potassium citrate mixture to treat dysuria for about a week, due to weakness admitted to the hospital, after checking its ECG abnormalities , Serum potassium was 8.8mmol / L, serum urea set