Hypochloremia
| Classification according to ICD-10 | |
|---|---|
| E87.8 | Other disorders of the water and electrolyte balance, not elsewhere classified - hypochloremia |
| ICD-10 online (WHO version 2019) | |
The hypochloremia , as hypochloraemic alkalosis is designated, an electrolyte imbalance with a lack of chlorides in the body with decrease in the chloride concentration in blood . The normal plasma level is 95 to 110 mmol / l.
An isolated chlorine deficiency is unusual, and other abnormalities are usually found.
root cause
A chloride deficiency can occur for a number of reasons:
- Desiccosis due to severe vomiting or diarrhea
- Hypoventilation and respiratory acidosis
- Metabolic alkalosis , for example in hyperemesis gravidarum
- Cystic fibrosis
- Pyloric stenosis or other stenosis of the stomach outlet
- Uremia
- as a side effect of hydrochlorothiazide
Clinical manifestations
Clinical criteria are:
- before or shortly after the birth:
- Polyhydramnios
- Absence of meconium
- prolonged neonatal icterus
- Muscle hypotension and lethargy
- with children:
- recurrent vomiting
- Failure to thrive
- constipation
- watery diarrhea
- Salty taste on the skin
therapy
Treatment consists of electrolyte replacement.
literature
- M. Tani, H. Morimatsu, F. Takatsu, K. Morita: The incidence and prognostic value of hypochloremia in critically ill patients. In: TheScientificWorldJournal. Vol. 2012, 2012, p. 474185, doi: 10.1100 / 2012/474185 , PMID 22701359 , PMC 3373177 (free full text).
Individual evidence
- ↑ Entry on normal values in the Flexikon , a Wiki of the DocCheck company
- ↑ a b Willibald Pschyrembel : Clinical Dictionary , 266th, updated edition, de Gruyter, Berlin 2014, ISBN 978-3-11-033997-0, keyword hyopchloremia
- ↑ Emedicine
