摘要
目的：分析急慢性肾衰竭并高钾血症的临床表现和防治策略。方法：回顾性分析10年来采用血液透析等抢救一组肾衰竭并高钾血症病人102例,共并发高钾血症457次的临床过程。结果：456例次的临床症状改善,血清钾浓度降至正常范围,心电图的高血钾图象消失,1病例抢救无效死亡。抢救成功率99.0%。结论：血液透析疗法是治疗高钾血症最有效的方法,使用含钾3.0～3.5mmol/L浓度的碳酸氢盐透析液进行透析,对降低高钾血症效果确切,可靠安全。血液透析治疗早期不应作单纯超滤脱水治疗。透析早期仍有因高钾而致心跳骤停等危险,应随时准备心脏复苏等抢救。
Objective： Analyzing the clinical conditions and emergency treatment experiences of acute and chronic renal failure with hyperpotassemia. Method： Retrospective analysis of 457 times cases of supervening hyperpotassemia with the hemodialysis treatment on 102 patients of renal failure with hyperpotassemia for 10 years. Result： 456 cases clinical symptom was improved, serum potassium concentration was down to normal range and hyperpotassemia were disappeared in electro cardiogram. 1 patient were died after salvage. Rates of success was 99.0%. Conclusion： Hemodialysis therapy is the most effective treatment to hyperpotassemia. Use bicarbonate with kalium pH indicator of 3.0 - 3.5mmol/L in dialysis is useful to lower hyperpotassemia, and also safe. In the early stage of hemodialysis, pure uhrafiltration dehydration treatment is not suitable. There is still danger of heart beat stop deal to high kalium in the early stage of dialysis; emergency treatment such as cardiac resuscitation should be stand by all the time.
出处
《河北医学》
CAS
2008年第8期951-953,共3页
Hebei Medicine
关键词
肾衰竭
高钾血症
血液透析
Renal failure
Hyperpotassemia
Hemodialysis
