Life-threatening hyperkalemia from cream of tartar ingestion.
Life-threatening hyperkalemia from cream of tartar ingestion.
复制标题
摄入牙垢奶油会导致危及生命的高钾血症。
DOI：
10.1007/s13181-012-0255-x
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Smith,JoanneM
中科院分区：
文献类型：
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作者：
Rusyniak,DanielE;Durant,PamelaJ;Mowry,JamesB;Johnson,JoA;Sanftleben,JayneA;Smith,JoanneM
酒石酸钾乳膏(酒石酸氢钾)作为烹饪助剂和药物泻药有着悠久的历史。尽管含有大量的钾，但没有很好的记录表明它会导致中毒。我们报告两个案例，故意摄入酒石奶油导致危及生命的高钾血症。此外，我们还简要回顾了酒石乳膏在历史上的使用情况。案例报道在这两种情况下，人们都摄入了大量的酒石乳膏，以努力“清理自己”。首发症状相似(呕吐)，血钾异常(>；8.0 mm ol/L)，心电图T波峰化。两名患者均接受了高血钾治疗，均痊愈出院，无并发症。在学术互联网数据库上搜索文章，没有发现任何具体涉及酒石酸氢钾不良影响的病例，许多网站继续声称其有益健康。结论摄入酒石酸钾乳膏可能会导致危及生命的高钾血症。
IntroductionCream of tartar (potassium bitartrate) has a long history as a cooking aid and medicinal purgative. Despite containing large amounts of potassium, there are no well-documented cases of it causing toxicity. We report two cases in which intentional ingestions of cream of tartar resulted in life-threatening hyperkalemia. In addition, we briefly review the use of cream of tartar as a historical purgative.Case ReportsIn both cases, individuals ingested a large quantity of cream of tartar in an effort to “clean themselves out”. They manifested similar initial symptoms (vomiting), abnormal serum potassium (>8.0 mmol/L), and EKG’s with peaked T waves. Both patients were treated for hyperkalemia and recovered without complication. A search for articles on an academic internet database failed to identify any cases specifically dealing with ill effects of potassium bitartrate and numerous websites continue to purport its beneficial health effects.ConclusionIngestion of cream of tartar can potentially result in life-threatening hyperkalemia.