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目的探讨急性上呼吸道感染患者输液后急性低血钾的临床特征分析和对策。方法通过对2012年8月至2014年8月在三门峡市直机关医院治疗的170例急性上呼吸道感染患者的临床资料进行回顾性分析,根据输液后是否出现急性低血钾将患者分为低血钾组和对照组,观察分析急性上呼吸道感染输液后急性低血钾的危险因素。结果高龄、钾流失、高血压、心血管疾病、抗感染药物种类、补钾是急性上呼吸道感染输液后发生急性低血钾症的高危因素,与对照组比较差异有统计学意义(P<0.05)。结论高龄、钾摄入不足、抗感染药物种类等因素是导致急性上呼吸道感染患者输液后发生急性低血钾的危险因素,护理人员应针对危险因素采取积极的护理措施,降低急性上呼吸道感染患者输液后急性低血钾的发生率,提高治疗效果,值得临床推广应用。
Objective To investigate the clinical characteristics of acute hypokalemia after transfusion in patients with acute upper respiratory tract infection and its countermeasures. Methods The clinical data of 170 patients with acute upper respiratory tract infection treated in the organs directly under the hospital of Sanmenxia from August 2012 to August 2014 were retrospectively analyzed. According to whether acute hypokalemia appeared after infusion, the patients were divided into hypokalemia Group and control group, observation and analysis of acute upper respiratory tract infection after acute hypokalemia risk factors. Results Aging, potassium loss, hypertension, cardiovascular diseases, anti-infectives and potassium supplementation were risk factors of acute hypokalemia after infusion of acute upper respiratory tract infection, which was significantly different from the control group (P <0.05 ). CONCLUSIONS: Older age, inadequate intake of potassium and anti-infective drug are the risk factors for acute hypokalemia after infusion in patients with acute upper respiratory tract infection. Nurses should take active nursing measures to reduce the risk of acute upper respiratory tract infection After infusion of the incidence of acute hypokalemia and improve the therapeutic effect, it is worth clinical application.