血液透析联合碳酸氢钠治疗地震挤压综合征伴高钾血症临床效果观察

英文篇名：Efficacy of hematodialysis combine sodium bicarbonate injection in treating patients with crush syndrome complicating hyperpotassaemia in earohquake injuy
中文刊名：实用医院临床杂志
英文刊名：Practical Journal of Clinical Medicine
作者：王松 ; 张林 ; 甘晓辉 ; 王琴 ; 邓丽蓉
英文作者：WANG Song ; ZHANG Lin ; GAN Xiao-hui ; et al.(The Central Hospital of Mianyang ; MianYang Sichuan 621000 ; China)
中文关键词：血液透析 ; 碳酸氢钠注射液 ; 地震 ; 挤压综合征 ; 高钾血症
英文关键词：Hematodialysis ; Sodium Bicarbonate Injection ; Earthquake ; Crush syndrome ; Hyper potassaemia.
出版日期：2009-01-01
机构：四川省绵阳市中心医院肾内科;
年：2009
期：01
出版单位：实用医院临床杂志

摘要

目的评价常规血液透析联合碳酸氢钠注射液治疗5.12地震中挤压综合征伴高钾血症的临床疗效。方法挤压综合征伴高钾血症伤员19例分为2组,治疗组10例采用常规血液透析联合碳酸氢钠注射液治疗,对照组9例采用常规血液透析治疗,比较两组高钾血症的纠正情况。结果两种方法都能纠正高钾血症,但12小时后,对照组的高钾血症复发,需要再次透析;而治疗组血钾水平稳定,疗效明显优于对照组(P<0.05)。结论常规血液透析联合碳酸氢钠注射液能有效治疗挤压综合征伴高钾血症,防止致死性心律失常。
Objective To evaluate the therapeutic effect of conventional hematodialysis combine sodiwm Bicarbonate Injection in the treatment of crush syndrome complicating myrerpotassalmia at 5·12 earthquake injury.Methods A total of 19 patients with crush syndrome complicuting hyperpotassakemia were divided iwto 2 growps.Treatment group(10 patients) treated with conentional hematodialysis combine SBI;control gnwp:9patvcwts treated with conventional hemato dialysis.the turnover of hyper-potassaemia were observed.Results It was effective that two methods to treat hyperpotassaemia.Hyperpotassaemia recrudesced and was treated hy second hematodialysis in control group but not in treatment growp affer 12 hours(P < 0.05).Condusion It was effective that cower tionad hematodiawsis ambine SBI.to trcat crush syndrome complicating hyrerpotassaemia and to prevent severe arhythmin.

引文

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