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重症低钾症临床上并非少见。常因诊疗不及时,而延误病情,甚至造成死亡。本文报道15例重症低钾症的治疗体会,供校医参考。15例均有低钾临床表现,血清钾<3.5mmol/L,心电图(ECG)符合低钾诊断。全部病人有明显肢体软瘫,8例有循环、呼吸衰竭。治愈12例,死亡3例。现将防治经验总结如下: 1 本组有1例急性肠胃炎患者,仅呕吐3次,腹泻2次,即发生严重低钾症,肢体瘫痪,呼吸肌麻痹,而误为“肉毒中毒”,用浓度0.3％氯化钾补钾抢救失败。但也有频繁吐泻而不发生低钾者。这可能与失钾速度
Severe hypokalemia clinical is not uncommon. Often due to treatment is not timely, and delay the disease, and even cause death. This article reports 15 cases of severe hypokalemia treatment experience, for school reference. All 15 patients had clinical manifestations of hypokalemia, serum potassium <3.5mmol / L and electrocardiogram (ECG) consistent with low potassium diagnosis. All patients have obvious limb paralysis, 8 cases of circulation, respiratory failure. 12 cases were cured and 3 died. The prevention and treatment experience is summarized as follows: 1 This group of patients with acute gastroenteritis, vomiting only 3 times, 2 times diarrhea, that is, severe hypokalemia, limb paralysis, respiratory muscle paralysis, and mistaken for “botulism” Saline potassium concentration of 0.3% failed to rescue. But there are frequent vomiting and diarrhea without hypokalemia. This may be related to the rate of potassium loss