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临床上,假性血K~+升高的常见原因有标本溶血~[1]、补钾输液同侧采血~[2]、使用EDTA-K_2抗凝血~[3]等。我院1例住院患者在2014年3月-2015年11月期间4次常规电解质检测均显示血K~+显著升高,但是在随后的急诊复查电解质则均显示血K~+正常。笔者对该患者进一步追踪分析,发现常规检测血K~+升高的主要原因是患者红细胞(RBC)显著升高、葡萄糖(GLU)酵解增强所致,现将结果报告如下。1临床资料1.1一般资料患者丁某,男,49岁,入院前反复咳
Clinically, the common causes of elevated K ~ + in pseudo blood are specimen hemolysis ~ [1], potassium infusion ipsilateral blood collection ~ [2], the use of EDTA-K 2 anticoagulant ~ [3] and so on. In our hospital, 1 inpatient from March 2014 to November 2015 showed that blood K + was significantly increased in all four routine electrolytes, but electrolyte K + was normal in the subsequent emergency review. The author further follow-up analysis of this patient, found that routine testing blood K + is mainly due to patients with significantly increased red blood cells (RBC), glucose (GLU) glycolysis increased due to the results reported below. 1 clinical data 1.1 General Information Ding, male, 49 years old, repeatedly cough before admission