摘要
目的探讨重度低钾血症致心跳呼吸骤停患者的有效救治方法。方法对21例重度低钾血症致心跳呼吸骤停患者在常规治疗的基础上，采用微量泵静脉泵入高浓度（4．0％）氯化钾溶液，速度1．5～2．0g／h，观察治疗时及预后情况。结果本组21例中20例复律成功，其中18例病情逐渐好转、治愈，1例糖尿病患者复苏后并发多脏器功能不全综合症（Multiple organ dysfunction syndrome，MODS）死亡，1例扩张型心肌病因心衰无法纠正死亡；另1例因反复阿斯综合征发作无法纠正死亡。无一例因高浓度补钾而出现并发症。结论在早期正规救活的基础上，采用超常规、高浓度补钾是救治重度低钾血症所致心跳呼吸骤停患者的有效方法，可提高其复苏成功率。
Objective To explore efficient methods of resuscitation on cardiac arrest induced by severe hypokalemia. Methods 21 patients with severe hypokalemia were treated with high concentration potassium solution, besides routine resuscitation. The treatment effect was evaluated with survival rate. Result There were 20 cases of the patients resuscitated and no obvious complications. Conclusion Accompanied the early routine resuscitation, high concentration potassium solution was efficient for treatment of patients with severe hypokalemia.
出处
《西部医学》
2008年第5期957-958,共2页
Medical Journal of West China
