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目的:探讨早期联合补钾治疗急性重型低钾血症患者的疗效。方法:收集146例急性重型低钾患者的临床资料,按有否采用早期联合补钾治疗而将患者分为早期联合补钾组(73例)及对照组(73例),对2组的疗效进行比较分析。结果:早期联合补钾组的血钾水平在治疗后4 h、8 h、12 h均高于对照组;早期联合补钾组患者的肌力在治疗后12 h及24 h高于对照组;早期联合补钾组治疗后心电图恢复正常所需时间及血钾恢复正常所需时间明显短于对照组,以上2组比较差异均有统计学意义,P<0.05~P<0.01。结论:早期联合补钾治疗急性重型低钾血症患者疗效更好。
Objective: To investigate the efficacy of early combination potassium therapy in patients with acute severe hypokalemia. Methods: The clinical data of 146 patients with acute severe Hypokalemia were collected. The patients were divided into two groups according to the early combination potassium therapy (73 cases) and the control group (73 cases) For comparative analysis. Results: Compared with the control group, serum potassium levels in the early combined potassium group were significantly higher than those in the control group at 4 h, 8 h and 12 h after treatment; The time required for the return of normal ECG and the return of serum K to normal levels in the early combined potassium-supplementing group was significantly shorter than that in the control group. There was significant difference between the two groups (P <0.05 ~ P <0.01). Conclusion: The early combination of potassium treatment of acute severe hypokalemia in patients with better effect.