慢性血液透析患者高钾血症的患病率

Mathew Barnd, Daniel Yreck
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摘要

血液透析患者比一般人群更容易患高钾血症。这使他们处于致命事故的危险之中。在血液透析中,它不是标准检查的一部分。我们研究的目的是找出长期透析的个体中这种情况有多普遍。我们的研究本质上是横断面的。参与者必须接受血液透析至少两个月,并且愿意参加这项研究。在他们开始第一次和第二次每周透析之前,我们做了临床检查,血钾、钠和离子钙测试,并对他们每个人进行了心电图检查。88名患者被选为研究对象。在第一次透析开始之前,38.7%的患者患有高钾血症,17%的患者在第二次透析之前患有高钾血症。在三个病例中,血钾水平被确定为至少7.5 mEq / l,表明患者患有一种称为麻痹的疾病。在两种情况下,高钾血症与心电图上的高T波有关。虽然高钾血症在透析患者中普遍存在,但其临床和心电图症状却较少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Hyperkalaemia in Chronic Haemodialysis Patients
Haemodialysis patients are more likely to suffer from hyperkalaemia than the general population. It puts them at danger of a fatal accident. In haemodialysis, it is not part of the standard examinations. The purpose of our study was to find out how common it was among individuals on long-term dialysis. Our research was cross-sectional in nature. Participants had to have been on haemodialysis for at least two months and be willing to participate in the research. Before the start of their first and second weekly dialysis sessions, we did a clinical examination, blood potassium, sodium, and ionized calcium tests, and an electrocardiogram in each of them. 88 patients were chosen for the study. Before the first dialysis session began, 38.7 percent of patients had hyperkalaemia, and 17 percent had it before the second. In three cases, the blood potassium level was determined to be at least 7.5 mEq / l, indicating that the patient was suffering from a condition known as paresis. Hyperkalaemia is associated with a tall T wave on the ECG in two circumstances. Although hyperkalaemia is widespread in our dialysis patients, its clinical and electrocardiographic symptoms are less so.
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