以重度低钾血症首诊的干燥综合征致肾小管酸中毒1例

Severe Hypokalaemia Due to Renal Tubular Acidosis in a Patient with Sjogren’s Syndrome

摘要: 目的：目前干燥综合征致肾小管酸中毒引起的重度低钾血症病例较少，本文将结合病例对此类患者的诊断、治疗及预后进行分析、探讨。方法：回顾性分析急诊就诊的1例重度低钾血症首诊的干燥综合征致肾小管酸中毒患者的临床表现、诊治思路、治疗结局，并进行相关文献复习。结果：患者经过积极补钾及激素治疗后，血钾逐渐恢复正常，病情平稳。结论：低钾血症患者的临床表现和病因复杂多样。如临床上疑似该病，应尽早明确干燥综合征诊断，及早、充分有效地治疗，可明显改善患者的预后。

Abstract: Objective: At present, there are a few cases of severe hypokalemia caused by renal tubular acidosis in the patients of Sjogren’s syndrome. This article will analyze and discuss the diagnosis, treatment and prognosis of such patients. Methods: The clinical manifestations, diagnosis and treatment of a case of severe hypokalemia with renal tubular acidosis caused by Sjogren’s syndrome were retrospectively analyzed, and the relevant literatures were reviewed. Results: After active potassium supplement and hormone therapy, the patient’s blood potassium gradually returned to normal, and her condition was stable. Conclusion: The clinical manifestations and etiological factors of patients with hypokalemia are complex and diverse. If the disease is suspected, the diagnosis of Sjogren’s syndrome should be made as soon as possible, and the early sufficient and effective treatment can significantly improve the prognosis of patients.