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低钾血症在儿科临床上是一种常见的电解质紊乱,可由于钾摄入不足、丢失过多和体内分布的异常所引起(见附表)。低钾血症的患儿,若未能及时处理或处理不当,常可造成严重的危害,甚至危及生命。近两年来,我们迂到2例严重低钾血症的患儿,在治疗实践中有一些体会和教训,现报导如下。病例摘要例1:熊××,男孩,12岁,于1976年7月30日因畏寒,持续高热、咳嗽伴浑身疼痛8天而入院.体温40.5℃,呼吸42次/分,脉搏124次/分,患儿神志恍惚,病情沉重,一般情况差。右乳房下胸壁处有一1.5×1.5厘米的脓肿。病儿呼吸急促,有轻度鼻煽,右肺呼吸音减低,右肺背下部叩诊呈浊音。心界不扩大.心音稍低钝,节律整,未闻杂
Hypokalemia is a common electrolyte disorder in pediatric clinics that can be caused by inadequate potassium intake, loss of excess and abnormalities in the body’s distribution (see attached table). Hypokalemia in children, if not handled properly or handled properly, can often cause serious harm, or even life-threatening. In the past two years, we migrate to 2 cases of severe hypokalemia in children, some experiences and lessons in the treatment of practice, are as follows. Case Summary 1: Xiong XX, a boy, aged 12, was admitted to hospital for chills, high fever and cough with whole body pain on July 30, 1976. Body temperature 40.5 ℃, breath 42 beats / min, pulse 124 / Min, children trance, heavy condition, the general situation is poor. Right chest wall at the bottom of a 1.5 × 1.5 cm abscess. Sick children breathing shortness of breath, mild nasal fan, right lung breath sounds reduced, lower right lung back percussion was voiced. Heart does not expand. Heart sound lower blunt, rhythm whole, unheard miscellaneous