摘要
目的探讨合并有急性上呼吸道感染症状的低钾血症的发病因素、临床特点及治疗方法,以提高诊治水平。方法回顾性分析2004年1月-2009年6月间厚街医院急诊科收治的572例低钾血症患者的临床资料。结果19.58%(112例)低钾血症患者发病前出现急性上呼吸道感染症状并有治疗史。其中轻度低钾血症18例,中度低钾血症67例,重度低钾血症27例。所有患者经口服、静脉补钾后症状均缓解。结论低钾血症的发病因素可能与病毒感染、滥用药物(抗生素、地塞米松、退热药)有关,与摄入不足,胃肠道丢失有关;对于难治性低钾血症在常规补钾基础上,辅以安体舒通和门冬氨酸钾镁治疗是安全有效的。
Objective To explore the pathogenic factors,clinical characteristics and treatment method of the hypokalemia related to acute upper respiratory tract infection.Methods The clinical data of 572 patients with hypokalemia admitted and treated during the period from Jan.2004 to Jun.2009 were analyzed retrospectively.Results 112（19.58%） cases of hypokalemia patients had acute upper respiratory infection symptoms before the occurrence of disease.18 cases were of mild hypokalemia,67 cases of moderate hypokalemia,and 27 cases of severe hypokalemia.The symptoms of all hypokalemia patients were relieved after oral or intravenous administration of kalium supplement.Conclusion The main cause of hypokalemia was possibly related t o the virus infection and misuse of drug（dexamethas,antibiotics,antifebrile） and insufficient intake and loss from the gastrointestinal tract.On the basis of routine kalium supplement,the safe and effective treatments with spironolactone and potassium magnesium aspartate should be supplemented.
出处
《中华全科医学》
2010年第2期167-168,共2页
Chinese Journal of General Practice
关键词
上呼吸道感染
低钾血症
临床分析
Upper respiratory tract infection Hypokalemia Clinical analysis
