摘要
目的分析糖尿病并发低钾血症的原因。方法选择因糖尿病于笔者所在医院内科住院治疗的患者30例,所有患者于门诊或住院时检测血钾浓度为<3.5mmol/L,记录患者的临床资料,总结分析可能引起糖尿病低钾血症的原因。结果导致低钾血症的主要原因中,9例为利尿剂(30%),9例为酮症酸中毒(30%),5例为使用胰岛素(16.7%),其他因素占23.3%;年龄超过60岁因为酮症酸中毒而发生低钾血症的患者较其他两个年龄段明显减少,利尿剂导致的低钾血症较其他两组为高。结论糖尿病合并低钾血症临床症状特异性较低,应引起临床医生的足够重视。
Objective To analyze the reason of diabetes complicated with hypokalemia.Methods 30 inpatient cases of diabetes were selected,and blood kalemia of these cases were below 3.5 mmol/L.Their clinical data were recorded and the probable reason of hypokalemia was analyzed.Results 9 cases caused by diuretics（30%）,9 patients caused by ketoacidosis（30%）,5 patients caused by insulin（16.7%）,other patients caused by other factors 23.3%.Patients of hypokalemia caused by ketoacidosis in over 60 years old was lower than that of 60.Patients of hypokalemia caused by diuretics in over 60 years old was higher than that of 60.Conclusion The specificity of clinical symptoms was lower in patients with diabetes complicated with hypokalemia,it should be pay more attention by the clinical doctors.
出处
《中国医学创新》
CAS
2012年第8期108-109,共2页
Medical Innovation of China
