老年患者腹部术后低钾血症及碱中毒的动态观察及预防  

Dynamic observation and prevention of hypokalemia and alkalosis in aged patients after abdomenal operation,

作　　者：马爱芬[1] 杨爱芹 刘迎欣[1] 张秋美[1] 袁美娥 杨虹[1] 

机构地区：[1]潍坊市益都中心医院,山东青州262500 [2]昌邑市人民医院

出　　处：《齐鲁护理杂志》2000年第4期252-253,共2页Journal of Qilu Nursing

摘　　要：目的 :预防老年患者腹部手术后低钾血症及碱中毒。方法 :动态观察70例腹部手术后老年患者水电解质及酸碱内环境的改变。结果 :腹部手术后老年患者血钾明显下降。术后 1、 3d碱中毒发生率分别为 42 9%、 2 8 6 %。结论 :低血钾与碱中毒互为因果关系。电解质及酸碱平衡紊乱是老年患者腹部手术后最常见的并发症 ,术后应及时补充钾离子及慎用碱性药物。Objective:To dynamic observate and prevent hypokalemia and alkalosis in aged patients after abdomenal operation Method:Dynamic observate the water electrolyte balance,acid-base enviroment in 70 cases aged patients before and after their abdomenal operation Results:Hemo^kalium level decreased apparently after operation,alkalosis incidence is 42 9% and 28 6% in first day and third day after operation Conclusion:Hypokalemia and alkalosis have cause to effect relationship,inbalance of electrolytes and acid base is the most common complication,its important to replement kalium and use basic medicine carefully

关 键 词：低钾血症 碱中毒 外科手术 消化系统 老年人 

分 类 号：R589.4[医药卫生—内分泌]