摘要
目的:研究大量输血前后血钾浓度的变化情况以及输血后高钾血症发生的影响因素。方法:将132例非挤压伤患者随机分为非输血治疗组(对照组)、大量输血治疗组(观察组),比较两组患者输血前后的血钾变化情况,同时分析其相关的影响因素。结果:输血前、后及手术过程中两组患者的血钾水平未见明显差异,但术后12 h内,观察组患者的血钾水平明显高于对照组,差异具有统计学意义(t=1.562,P<0.05),术后12 h之外两组患者的血钾水平比较未见明显差异。结论:临床上大量输血并不是引起患者高钾血症的主要原因,但某些患者在大量输血后会出现血钾升高,因此在进行输血过程中应对患者血钾水平进行密切监测和观察,且应注意肾功能变化,以排除由于肾功能受损导致的血钾升高,降低并发症的发生率。
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.
出处
《中国医学装备》
2013年第12期108-110,共3页
China Medical Equipment
关键词
大量输血
血钾浓度
高钾血症
影响因素
Massive blood transfusion
Blood potassium concentration
Hyperkalemia
Influencing factors
