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患者,男性,49岁,以“反复低钾血症10余年”为主诉入院;反复四肢麻木、乏力,测血钾低,最低2.7mmol/L,外院予补钾处理,症状可缓解。血钾可升至3.4mmol/L。具体诊治不详。间断口服“氯化钾”。既往10余年前因胃溃疡穿孔,于当地医院行胃大部切除术,术后未诉特殊不适。入院查体无阳性体征。曾经2次测血压分别是140/86和146/90mm Hg(1mm Hg=0.133kPa)。入院后相关检查示:白细胞计数3.55×109/L,血红蛋白含量142g/L,中性粒细胞百分比71.1%;尿常规:蛋白质0.1(±)g/L。生化全套:葡萄糖4.42mmol/L,总胆固醇4.56mmol/L,
Patients, male, 49 years old, with “repeated hypokalemia for more than 10 years ” as the main complaint hospitalization; repeated numbness, fatigue, low serum potassium, the lowest 2.7mmol / L, outside the hospital to potassium treatment, the symptoms can be alleviated. Potassium can rise to 3.4mmol / L. Specific diagnosis and treatment is unknown. Intermittent oral “potassium chloride ”. Past 10 years ago due to gastric ulcer perforation, gastrectomy in the local hospital, did not complain of special discomfort after surgery. Admission examination no positive signs. Two previous measurements of blood pressure were 140/86 and 146/90 mm Hg respectively (1 mm Hg = 0.133 kPa). Relevant examination showed that after admission: white blood cell count 3.55 × 109 / L, hemoglobin content 142g / L, 71.1% of neutrophils; urine routine: protein 0.1 (±) g / L. Biochemical full: glucose 4.42mmol / L, total cholesterol 4.56mmol / L,