急性胃肠炎以呕吐、腹泻为主要症状,伴随着大量液体的丢失,临床常见的电解质紊乱以低钾为主要表现。本文此例急性胃肠炎患者伴高钾血症,就诊之初被误诊,现报道如下。1临床资料患者,男,39岁。因腹痛腹泻稀水样便半天,共20余次,量多收入我科住院。患者前1天晚饭后出现腹痛、腹泻稀水样便,未予特殊处理。以“急性胃肠炎”收住我科,发病以来伴上腹痉挛疼痛,手足抽筋。查体:T 37℃,P 110次/min,R 20 Acute gastroenteritis with vomiting, diarrhea as the main symptom, accompanied by a large number of fluid loss, clinical electrolyte imbalance to potassium as the main performance. This case of patients with acute gastroenteritis patients with hyperkalemia, the beginning of treatment was misdiagnosed, are reported below. 1 clinical data patients, male, 39 years old. Due to abdominal pain and diarrhea, watery urine will be a long time, a total of more than 20 times, the amount of income in our hospital. One day after the patient had abdominal pain, diarrhea, watery stool, no special treatment. To “acute gastroenteritis ” admitted to our department, accompanied by abdominal cramps since the onset of pain, hand cramps. Examination: T 37 ℃, P 110 times / min, R 20