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本文分析了105例小儿急性肺炎血钾的变化,发现婴幼儿肺炎易发生低血钾。小儿肺炎于起病一周内发生低血钾的较多,合并代谢性酸中毒时仍可出现低血钾,且合并低钾者心衰的发生率较高。观察到营养不良患肺炎者均产生低钾血症,肺炎的预后与低血钾有一定关系。在治疗后肺炎恢复较慢或心衰难以控制时要考虑存在低钾的可能;对有营养不良者宜于治疗开始即同时补钾,以防输液纠酸后出现严重低血钾的不良后果。
This article analyzes the 105 cases of children with acute plasma potassium changes, found that infants and young children prone to hypoxia pneumonia. Pediatric pneumonia in the onset of hypokalemia within a week more, with metabolic acidosis may still appear hypokalemia, and the incidence of heart failure with hypokalemia higher. Hypokalemia was observed in patients with malnutrition and pneumonia. The prognosis of pneumonia was related to hypokalemia. In the treatment of pneumonia after recovery is slow or difficult to control the heart failure to consider the possibility of hypokalemia; malnutrition should be at the beginning of treatment that is, at the same time potassium, potassium infusion in case of serious acidosis after serious adverse consequences of hypokalemia.