Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report

被引：11

作者：

Miszczuk, Konrad ^{[1
]}

Mroczek-Wacinska, Joanna ^{[1
]}

Piekarski, Robert ^{[1
]}

Wysocka-Lukasik, Beata ^{[1
]}

Jawniak, Renata ^{[2
]}

Ben-Skowronek, Iwona ^{[1
]}

机构：

[1] Med Univ Lublin, Dept Pediat Endocrinol & Diabetol, Lublin, Poland

[2] Med Univ Lublin, Dept Pediat Cardiol, Lublin, Poland

来源：

ITALIAN JOURNAL OF PEDIATRICS | 2019年 / 45卷 / 1期

关键词：

Diabetic ketoacidosis; Hypophosphatemia; Ventricular arrhythmia; Case report; RESPIRATORY-FAILURE; SERUM PHOSPHATE; TACHYCARDIA; MANAGEMENT; ACIDOSIS; CHILD;

D O I：

10.1186/s13052-019-0633-y

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Background: Hypophosphatemia has many causes, and is often encountered during DKA (Diabetic Ketoacidosis) treatment. However, it rarely requires clinical intervention. Case presentation: Ventricular arrhythmia was observed in a 10-year-old girl with newly diagnosed type 1 diabetes mellitus and hypophosphatemia while undergoing treatment for ketoacidosis. Oral phosphate supplementation ceased ventricular arrhythmia almost completely. Conclusions: The clinical signs of hypophosphatemia are potentially life-threatening. Therefore, physicians should be vigilant when treating patients who are at risk of hypophosphatemia. Severe hypophosphatemia accompanied by clinical symptoms requires oral or intravenous supplementation of phosphate.

引用

页数：6

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