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大量输血前后血钾浓度变化及高钾血症发生的影响因素

曾学平

中国医学装备Issue(12):108-109,110,3.
中国医学装备Issue(12):108-109,110,3.DOI:10.3969/J.ISSN.1672-8270.2013.12.043

大量输血前后血钾浓度变化及高钾血症发生的影响因素

Analysis on the factors influencing the serum potassium concentration changes before and after massive blood transfusion and transfusion hyperkalemia occurred

曾学平1

作者信息

  • 1. 解放军第187医院输血科 海南 海口 571159
  • 折叠

摘要

Abstract

Objective: To study the changes of blood transfusion and blood potassium concentration and the occurrence of hyperkalemia after transfusion factors influence. Methods: In our hospital from 2010 April to select the diagnosis and treatment of -2012 in April 132 cases of non crush injury patients, these patients were randomly divided into two groups, the control group without blood transfusion therapy group, the observation group for massive transfusion treatment group, changes of serum potassium were compared between the two groups before and after transfusion, and to analyze the related effect factors. Results:The serum potassium levels showed no significant difference between the two groups of patients before and after blood transfusion, operation process, but the postoperative within 12h, observation of blood potassium level group were significantly higher than that in control group, the difference is significant, with statistical significance (t=1.562, P<0.05), in addition to 12h after operation, blood potassium levels between the two groups no significant difference. Conclusion: The clinical blood transfusion is not the main cause of hyperkalemia in patients with, but there are still some patients in massive transfusion potassium increased, therefore, in the process of transfusion, or to close monitoring and observation of the serum potassium level, but also to pay attention to changes in renal function, has ruled out the elevation of serum potassium results in impaired renal function because, in order to reduce the incidence of complications.

关键词

大量输血/血钾浓度/高钾血症/影响因素

Key words

Massive blood transfusion/Blood potassium concentration/Hyperkalemia/Influencing factors

分类

医药卫生

引用本文复制引用

曾学平..大量输血前后血钾浓度变化及高钾血症发生的影响因素[J].中国医学装备,2013,(12):108-109,110,3.

中国医学装备

OACSTPCD

1672-8270

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