梗阻性黄疸患者围手术期并发低血钾的原因分析及护理对策

目的探讨梗阻性黄疸患者围手术期发生低血钾的原因并总结相应的护理对策。方法回顾性分析42例梗阻性黄疸患者围手术期发生低血钾的原因。结果发生低血钾与食欲差、禁食时间长、术前胆道感染、术后TPN营养、肝肾功能受损等因素有关。结论围手术期须密切监测血钾浓度,做到早期发现,及时处理,以确保患者顺利康复。

Objective To explore the nursing strategies against perioperative hypopotassemia complicated by obstructive jaundice. Method The factors causing perioperative hypopotassemia in 42 obstructive jaundice patients were retrospectively analyzed and summarized. Result Hypopotassemia was related with less appetite, long time for fasting, infection of biliary tract, postoperative TPN nutrition and damage of hepatic function. Conclusion Perioperative concentration of blood potassium should be intensively monitored so as to earlier diagnose hypopotassemia and treat it in time for the ultimate purpose of smooth recovery of patients.