The successful use of extracorporeal membrane oxygenation combined with continuous renal replacement therapy for a cardiac arrest patient with refractory hypokalemia and diabetic ketoacidosis

作     者：Yang Li Rui Xu Chun-Shui Cao Liang Huang Yang Li;Rui Xu;Chun-Shui Cao;Liang Huang

作者机构：Department of Emergency Medicinethe First Affiliated Hospital of Nanchang UniversityNanchang 330006China 

出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)

年 卷 期：2022年第13卷第4期

页      面：337-340页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Science and Technology Program of Jiangxi Provincial Health Commission(20203211) Primary Research&Development Plan of Jiangxi Province(20203BBGL73166) Applied Research Cultivation Plan of Jiangxi Province Department of Science and Technology(20212BAG70016) 

主　　题：mortality cardiac ketoacidosis 

摘      要：Dear editor,Diabetic ketoacidosis(DKA)is a common clinically severe disease,with an incidence of 24.9/1,000 among diabetes patients,and approximately 180,000 people in the United States suffer from DKA every year.[1]The reported mortality rate associated with DKA ranges from 0.65%to 3.30%,and is commonly caused by electrolyte imbalances,especially hypokalemia and hyperkalemia.[2]Reports indicated that hypokalemia was observed in 5.6%of patients with DKA before therapy,[3]and the overall prevalence of hypokalemia during treatment for DKA was 38%.[4]Several studies have shown that hypokalemia can lead to fatal dysrhythmia and even cardiac arrest,which are positively associated with increased mortality.