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目的探讨快速治疗婴幼儿低血钾的临床方法。方法利用消化道主动吸收钾钠离子的特性,口服或鼻饲喂养10%氯化钾辅助治疗低血钾。随机将213例低血钾患儿分成治疗组105例和对照108例,对照组予以常规治疗,治疗组在常规治疗的基础上加用10%氯化钾口服或鼻饲。观察两组患儿低血钾临床症状的缓解和治愈时间。结果治疗组症状缓解时间比对照组短。治疗组心电图正常时间为(1.2±0.4)d,血清钾值正常时间为(1.6±1.2)d。结论在常规补液的同时经消化道补钾比单纯由静脉通道补钾临床效果迅速。
Objective To explore the rapid treatment of infant hypokalemia clinical methods. Methods Using the characteristics of active absorption of potassium and sodium in the digestive tract, 10% potassium chloride was administered orally or nasally to treat hypokalemia. A total of 213 children with hypokalemia were randomly divided into treatment group (n = 105) and control group (n = 108). The control group was given routine treatment. The treatment group was treated with 10% potassium chloride or nasal feeding on the basis of routine treatment. Observe the clinical symptoms of hypokalemia in both groups to alleviate and cure the time. Results The symptom relief time of the treatment group was shorter than that of the control group. The duration of electrocardiogram in the treatment group was (1.2 ± 0.4) d and the duration of serum potassium was (1.6 ± 1.2) days. Conclusions In conventional rehydration, potassium supplementation through the digestive tract is more effective than potassium infusion via intravenous access alone.