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急性有机磷中毒患者的血钾变化及临床意义的探讨 被引量:2

Change of serum kalium and its clinical significance in patients with acute organic phosphorus poisoning
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摘要 目的 :探讨急性有机磷中毒患者的血清钾变化及其临床意义。方法 :对 6 8例发病 6小时内的急性有机磷中毒的患者入院后测定血清钾 ,并根据不同的中毒程度、中毒方式、发病时间分组比较 ,并设正常对照组对照。结果 :中毒各组均有明显的低钾血症 ,与对照组比较均有显著性意义 (P <0 .0 1) ,且重度中毒组与中、轻度组比较亦有显著性意义 (P >0 .0 5 ) ,但两种不同的中毒途径与不同的中毒时间的组间血清钾的比较无显著性意义 (P >0 .0 5 )。结论 :急性有机磷中毒可致明显的低钾血症 ,中毒越重 ,低钾血症越明显。在发病早期应注意监测血清钾的变化 ,及时纠正低血钾 ,预防或减轻中毒后严重合并症的产生。 Objective:To study the alteration and clinical significance of contents of serum kalium in acute organic phosphorus poisoning patients Methods:Concentrations of serum kalium in all cases were measured within 6 hours after accident,and differences of poisoning severity,way,and time were considerd serum kalium in contral group was measured simultaneously Results:there were hypokalamias in all cases ,which showed differences from the control group (P<0 01) The severity of hypokalamia related to the case's degree,but not to its way or time Conclusion:Acute organic phosphorus poisoning could cause hypokalamia The worse condition the case showed,the lower content the kalium was measured Concentration of serum kalium should be measured and hypokalamia be treated at prime time,which will prevent or reduce the occurrence of serious complication
出处 《广西医学》 CAS 2002年第4期458-459,共2页 Guangxi Medical Journal
关键词 血钾 急性有机磷中毒 临床意义 低血钾 预防 Poisoning Organic phosphorus Serum kalium
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