有一位急性腹痛、疑似急性胃炎的年轻患者来急诊部就诊。医师为排除胰腺炎和了解血清电解质情况,给病人做了一份常规血液生化检查。检验结果回报后,患者大吃一惊,血清钾竟然高达7.8mmol/L(正常值为3.5～4.5mmol/L)。根据一般临床诊疗指南,这么高的血钾可造成心律紊乱,有生命危 A young patient with acute abdominal pain and suspected acute gastritis visited the emergency department. To rule out pancreatitis and understand serum electrolytes, the doctor performed a routine blood biochemistry test. After the test results were reported, the patient was surprised and the serum potassium was as high as 7.8 mmol/L (normal value 3.5 to 4.5 mmol/L). According to general clinical practice guidelines, such high potassium levels can cause heart rhythm disorders and endanger life