心肺转流术术后患者早期低钾血症的处理及护理体会
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摘要
目的探讨采用高浓度快速静脉补钾的目标性治疗对心脏病心肺转流术术后患者早期低钾血症的作用。方法对63例低钾血症患者使用微量注射泵进行高浓度补钾,在补钾过程中给予严密心电监护,监测血钾浓度、尿量,并精心护理。结果全组无1例因低钾死亡。结论在严密的动态临床监测和精心护理下,微泵静推补钾见效快、安全,适用于心肺转流术术后低钾血症患者。
Objective To investigate the efficacy of concentrated rapid intravenous potassium infusion on hypokalemia early after extracorporeal circulation of cardiac surgery. Methods Sixty- three patients with hypokalemia after extracorporeal circulation were treated with concentrated potassium infusion via syringe pump. Plasma potassium concentration,urine volume and electrocardiograph were monitored,and intensive nursing was performed during treatment. Results None of these patients died from hypokalemia. Conclusion Under proper clinical monitoring and nursing,potassium supplementation via syringe pump can be efficient and safe in the treatment of hypokalemia after extracorporeal circulation.
Objective To investigate the efficacy of concentrated rapid intravenous potassium infusion on hypokalemia early after extracorporeal circulation of cardiac surgery. Methods Sixty- three patients with hypokalemia after extracorporeal circulation were treated with concentrated potassium infusion via syringe pump. Plasma potassium concentration,urine volume and electrocardiograph were monitored,and intensive nursing was performed during treatment. Results None of these patients died from hypokalemia. Conclusion Under proper clinical monitoring and nursing,potassium supplementation via syringe pump can be efficient and safe in the treatment of hypokalemia after extracorporeal circulation.
引文
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[8]陈朝晖,王虹,孙久华,等.成人房间隔缺损患者心内直视术后心律失常的观察[J].解放军护理杂志,2000,17(5):43-44.
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[11]王美兰,戴盈盈.高浓度氯化钾微量静脉注射治疗心功能不全合并低钾血症的监测与护理[J].中国实用护理杂志,2004,20(9):1516.
[2]耿庆.体外循环术后低血钾症的原因分析及护理[J].医学信息,2014,12(4):471-472.
[3]郭加强,吴清玉.心脏外科护理学[M].北京:人民卫生出版社,2003:146-147.
[4]杨文红,师尚泽,张航,等.体外循环下心脏手术后早期死亡原因分析[J].昆明医学院学报,2009,30(1):136.
[5]朱晓东.心脏外科指南[M].北京:世界图书出版公司,1990:118-120.
[6]卢喜烈.心电图诊断解读[M].北京:科学技术文献出版社,2002:188-191.
[7]朱儒红.高浓度补钾在心脏瓣膜病围手术期的应用[J].护理研究,2005,19(10B):2112-2113.
[8]陈朝晖,王虹,孙久华,等.成人房间隔缺损患者心内直视术后心律失常的观察[J].解放军护理杂志,2000,17(5):43-44.
[9]安丽,陈克芳.心脏直视术后低血钾的治疗及护理[J].华西医学,2001,16(3):334.
[10]孙明珠,王晶,于晓江.微量注射泵静脉输注高浓度氯化钾的治疗及护理[J].辽宁药物与临床,2004,7(1):26-27.
[11]王美兰,戴盈盈.高浓度氯化钾微量静脉注射治疗心功能不全合并低钾血症的监测与护理[J].中国实用护理杂志,2004,20(9):1516.