{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T08:46:32Z","timestamp":1791708392466,"version":"4.3.4"},"reference-count":13,"publisher":"Akademiai Kiado Zrt.","issue":"41","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,10,11]]},"abstract":"A s\u00falyos hypokalaemia ritka, de potenci\u00e1lisan reverzibilis oka lehet a malignus\n ritmuszavaroknak \u00e9s a kering\u00e9sle\u00e1ll\u00e1snak. Az intestinalis h\u00fagy\u00fati devi\u00e1ci\u00f3val\n \u00e9l\u0151 betegekben kialakul\u00f3 jelent\u0151s folyad\u00e9k-, elektrolit- \u00e9s sav-b\u00e1zis zavarok\n korai felismer\u00e9se \u00e9letment\u0151 jelent\u0151s\u00e9g\u0171 lehet. Esetismertet\u00e9s\u00fcnkben egy 55 \u00e9ves\n n\u0151beteg k\u00f3rlefoly\u00e1s\u00e1t mutatjuk be, akin\u00e9l Bricker szerinti\n ureteroileocutaneostoma kialak\u00edt\u00e1s\u00e1t k\u00f6vet\u0151en elh\u00faz\u00f3d\u00f3 h\u00e1ny\u00e1s \u00e9s stom\u00e1n\n kereszt\u00fcli jelent\u0151s folyad\u00e9kveszt\u00e9s talaj\u00e1n s\u00falyos hyperchloraemi\u00e1s acid\u00f3zis,\n extr\u00e9m hypokalaemia alakult ki. A beteg sz\u00edvmeg\u00e1ll\u00e1sk\u00f6zeli \u00e1llapotban ker\u00fclt\n intenz\u00edv oszt\u00e1lyunkra, ahol r\u00f6videsen kering\u00e9sle\u00e1ll\u00e1s l\u00e9pett fel. A monitoron\n \u00e9szlelt ritmus ekkor kamrafibrill\u00e1ci\u00f3, majd \u201etorsade de pointes\u201d kamrai\n tachycardia volt. Az emelt szint\u0171 \u00fajra\u00e9leszt\u00e9s sor\u00e1n c\u00e9lzott, nagy d\u00f3zis\u00fa\n intrav\u00e9n\u00e1s k\u00e1liump\u00f3tl\u00e1st, magn\u00e9zium-szulf\u00e1t- \u00e9s bikarbon\u00e1tszubsztit\u00faci\u00f3t\n alkalmaztunk. A reanim\u00e1ci\u00f3 alatt 120 ml 7,4%-os k\u00e1lium-kloridot adtunk be, \u00e9s\n mintegy 18 perc eltelt\u00e9vel a spont\u00e1n kering\u00e9s visszat\u00e9rt. Az els\u0151 24 \u00f3r\u00e1ban\n \u00f6sszesen 460 mmol k\u00e1lium-klorid p\u00f3tl\u00e1s\u00e1ra volt sz\u00fcks\u00e9g. A spont\u00e1n kering\u00e9s\n visszat\u00e9r\u00e9se ut\u00e1n intermitt\u00e1l\u00f3 hemodial\u00edzis t\u00f6rt\u00e9nt a s\u00falyos metabolikus\n acid\u00f3zis korrekci\u00f3j\u00e1ra. A k\u00e9s\u0151bbi intenz\u00edv ter\u00e1pi\u00e1s kezel\u00e9s sor\u00e1n szepszis \u00e9s\n k\u00e9toldali pneumonia alakult ki, azonban c\u00e9lzott antimikrob\u00e1s, szervt\u00e1mogat\u00f3\n ter\u00e1pia \u00e9s folyamatos elektrolitkorrekci\u00f3 mellett a beteg \u00e1llapota fokozatosan\n javult. A kezel\u00e9s 7. napj\u00e1n sikeres extub\u00e1l\u00e1s t\u00f6rt\u00e9nt, majd a beteg j\u00f3\n neurol\u00f3giai \u00e1llapotban ker\u00fclt vissza nefrol\u00f3giai oszt\u00e1lyra. Eset\u00fcnk r\u00e1mutat\n arra, hogy Bricker-stom\u00e1val \u00e9l\u0151 betegekben a gyorsan kialakul\u00f3 s\u00falyos\n hypokalaemia \u00e9s metabolikus acid\u00f3zis malignus ritmuszavarhoz (kamrafibrill\u00e1ci\u00f3,\n \u201etorsade de pointes\u201d kamrai tachycardia) \u00e9s kering\u00e9sle\u00e1ll\u00e1shoz vezethet,\n ugyanakkor a reverzibilis metabolikus elt\u00e9r\u00e9sek gyors felismer\u00e9se \u00e9s az\n agressz\u00edv, c\u00e9lzott k\u00e1liump\u00f3tl\u00e1s \u00e9letment\u0151 lehet. Orv Hetil. 2026; 167(41):\n 1664\u20131668.<\/jats:p>","DOI":"10.1556\/650.2026.33650","type":"journal-article","created":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T08:00:10Z","timestamp":1791705610000},"page":"1664-1668","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Hypokalaemi\u00e1s kering\u00e9sle\u00e1ll\u00e1s sikeres kezel\u00e9se massz\u00edv k\u00e1liump\u00f3tl\u00e1ssal Bricker-stom\u00e1s betegben"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5410-2045","authenticated-orcid":true,"given":"T\u00edmea","family":"Szab\u00f3","sequence":"first","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, K\u00f6zponti Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly Miskolc Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krist\u00f3f","family":"Szil\u00e1gyi","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, K\u00f6zponti Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly Miskolc Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"G\u00e1l","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, K\u00f6zponti Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly Miskolc Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krisztina","family":"K\u00f3bor","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, K\u00f6zponti Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly Miskolc Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00e9za","family":"Reusz","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, K\u00f6zponti Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly Miskolc Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Liu JK, Sim SS, Hsieh FC, et al. Intravenous potassium solution\n boluses save a life from hypokalemic cardiac arrest. Am J Emerg Med. 2020;\n 38(1): 162.e1-162.e2.\n https:\/\/doi.org\/10.1016\/j.ajem.2019.158393","DOI":"10.1016\/j.ajem.2019.158393"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Lloyd C, Mohar C, Priano D. Hypokalemic cardiac arrest: narrative\n review of case reports and current state of science. J Emerg Nurs. 2022; 48:\n 310-316. https:\/\/doi.org\/10.1016\/j.jen.2021.12.008","DOI":"10.1016\/j.jen.2021.12.008"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Drew BJ, Ackerman MJ, Funk M, et al. Prevention of torsade de\n pointes in hospital settings: a scientific statement from the American Heart\n Association and the American College of Cardiology Foundation. Circulation 2010;\n 121: 1047-1060. 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