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例1,男性,27岁.Graves病并低钾血症,高血压病.服克甫啶加安体舒通及钾盐一周后,血清钾6.8mmol/L,心电图无异常.静滴葡萄糖液加胰岛素,停服安体舒通,血钾很快恢复正常.例2,男性,38岁.Graves病伴低血钾.静脉补钾每日6克,2天后血钾升至8.6mmol/L,心电图呈高钾图形,尿素氮、肌酐轻度升高.静滴高渗葡萄糖加胰岛素并利尿,当日血钾降至正常.例3,男性,23岁.Graves病并低血钾,因四肢软瘫就诊.查血钾2.27mmol/L,静脉补钾6g/日,四肢软瘫消失.次日中午一次性误服10%氯化钾36ml,同时静脉补钾1g,4小时后四肢软瘫再现,胸
Example 1, male, 27 years old .Graves disease and hypokalemia, hypertension .At the end of a single dose of gavoline plus spironolactone and potassium, serum potassium 6.8mmol / L, no abnormal ECG .Quick glucose solution Add insulin, stop taking spironolactone, serum potassium quickly returned to normal .Example 2, male, aged 38 .Graves disease with hypokalemia .Powder 6 grams of potassium daily, 2 days after the serum potassium rose to 8.6mmol / L , Electrocardiogram showed high potassium graphics, urea nitrogen, creatinine mildly elevated .Indurant hypertonic glucose and insulin and diuretic, the day the serum potassium decreased to normal .Example 3, male, 23 years old .Graves disease and hypokalemia, due to limbs Check the potassium 2.27mmol / L, intravenous potassium 6g / day, extremities soft paralysis disappeared the next day at noon one-time mistaken 10% potassium chloride 36ml, while intravenous potassium 1g, 4 hours after four limbs soft palsy Reproduce, chest