Clinical analysis of hyperkalemia after esophagectomy

Rationale: The occurrence of hyperkalemia after esophagectomy is clinically rare. Patients who underwent esophagectomy often have a serum potassium level due to perioperative reduced intake, fluids loss, consumption and other reasons. These patients often require the artificial administration of potassium. Rapid fluid loss and physiological consumption lead to the deficiency of potassium, even hypokalemia. Patients often require the addition of a large amount of potassium after operation. The occurrence of hyperkalemia after esophagectomy is never been reported. Patient concerns: The patient presented with continuous tachycardia, palpitations, chest tightness, progressive nausea, irritability, progressive myasthenia gravis. Diagnoses: Hyperkalemia, sepsis, acidosis, diabetes, postoperative esophageal cancer. Interventions:Prompt anti-infection treatment and the management of blood sugar, hemodialysis was performed to correct sthe acidosis and electrolyte disorder Outcomes: All symptoms were alleviated. Lessons : Therefore, there is a need to regularly test electrolytes, especially in patients with diabetes, as well as better blood glucose control. Attention should be paid to the potential of infection, and to avoiding ketoacidosis and risk of sepsis. Abbreviations: AB = the actual bicarbonate concentration, ALT = alanine aminotransferase, AST = aspartate amino transferase, BE = buffer excess, CRE = creatinine, CT = computed tomography, ECG = electrocardiogram, GGT = glutamyltransferase, GLU = glucose, KET = ketone body, M. D. = Doctor of Medicine, NIT = nitrite, PCO2 = partial pressure of carbon dioxide in artery, PH = pH value, SB = standard bicarbonate concentration, SG = specific gravity, SPO2 = blood oxygen saturation, UREA = ureophil, WBC = white blood cells.