Abstract:
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.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Chen Q,Zhang WG,Chen SCdoi
10.1097/MD.0000000000008966subject
Has Abstractpub_date
2017-12-01 00:00:00pages
e8966issue
48eissn
0025-7974issn
1536-5964pii
00005792-201712010-00080journal_volume
96pub_type
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