神经外科危重病人继发低钾血症防治的初步分析  

The Preliminary Preventive and Therapeutic Experience for Hypokalemia Following Critical Neurosurgical Insults

作　　者：赵海燕[1] 鲁楠 朱兴宝[3] 黄伟[3] 

机构地区：[1]昆明医学院第一附属医院ICU,昆明650032 [2]大姚县人民医院外二科,大姚675400 [3]成都军区昆明总医院神经外科,昆明650032

出　　处：《昆明医学院学报》2002年第3期92-93,共2页Journal of Kunming Medical College

摘　　要：目的 :初步总结神经外科危重病人继发低钾血症的防治经验 .方法 :回顾分析神经外科危重病人继发低钾血症 5 0例的防治经过 .5 0例患者按不同补钾方案分为 4组 ,A～C组按常规方案补钾 ,D组按超常规方案补钾 .结果 :5 0例中 ,按常规方案补钾 36例 ,低钾血症均未能纠正 ,按超常规方案补钾 14例 ,低钾血症均得到纠正 ,两种方案比较 ,差异有显著性 (P <0 0 1) ,且超常规补钾未造成严重后果 .结论 :按常规方案补钾难以纠正神经外科危重病人继发低钾血症 。Objective: To summarize the preliminary preventive and therapeutic experience for hyplokalemia following critical neurosurgical insults. Methods: Prevention and therapy of hypokalemia following critical neurosurgical insults were reviewed in 50 cases. All patients with such problems were divided into 4 groups according to different preventive and therapeutic strategies. Group A, B and C with 11, 12 and 13 cases respectively were treated by conventional measure, while group D with 14 cases by the unconventional measure. Results: The unconventional measure can increase kalium concentration, but the conventional measure cannot do so. Conclusion: It is not the conventional measure but the unconventional measure that can cure hypokalemia following critical neurosurgical insults effectively and safely.

关 键 词：神经外科 危重病人 继发低钾血症 防治 

分 类 号：R651[医药卫生—外科学] R591.1[医药卫生—临床医学]