外伤性脊髓损伤后的低钾症(附31例报告)

Hypokalemia After Traumatic Spinal Cord Injury (31 Report)

对我院1982年以来救治的脊柱骨折脱位合并截瘫(包括不全瘫)296例中出现低钾症的31例进行了分析.此症发生率约10.4%,其特点是①外伤性脊髓损伤后出现低钾;②大部分由禁食、使用激素、脱水剂引起;③多在伤后2～5d出现;④颈椎脊髓损伤后多见.治疗本症的原则是及时发现,及时诊断,及时补充钾.低钾不纠正,必将影响脊髓损伤的康复,且易并发褥疮和肺部感染等,甚至加重呼吸肌的麻痹或心力衰竭而死亡.

The Review have been Collected all 296 fracturedislocation of spine with Paraplegia (include Partial Paraplegia) rescued and treated in our hospital since 1982. 31 of 296 had hypokalemia been Analyzed, And the symptom was called Hypokalemia after traumatic spinal Cord injury. The incidence about 10.4 percent, It is Characterized by 1) Hypokalemia occured in traumatic spinal cord injury, 2) Most are caused by fasting, Using of hormone and dehydrant, 3) Usually occured in 2~5 day after injury, 4) More common in cervical vertebra's spinal cord injuty. The principle of treatment for the Case is detect promptly; timely diagnosis, and replenish kalium in time. It must be affact the spinal cord recovery from injury, if Hypokalemia were not corrected. And easy combined bed sore, pulmonary Infection ete, even exacerbated palsy of respiratory muscles or died in heart failure.