内分泌科住院患者低钾血症原因分析

Etiology analysis of hypokalemia of the inpatients in the department of endocrinology

目的分析内分泌科住院患者常见低钾血症原因，以提高低钾血症病因诊断及治疗水平。方法回顾性分析59例低钾血症患者的临床资料。结果84．7％（50／59）的低钾血症由内分泌疾病引起，其中糖尿病引起者占33．9％（20／59），甲状腺功能亢进引起者占25．4％（15／59），其余为其他少见内分泌疾病，如原发性醛固酮增多症、Cushing综合征等。结论重视内分泌疾病导致低钾血症的诊断治疗。

Objective To investigate the common causes of hypokalemia of inpatients in department of endocrinology. Methods Fifty-nine inpatients with hypokalemia were analyzed retrospectively. Results 84.7% （50/59） of patients with hypokalemia was clearly caused by endocrine diseases, among which 33.9% （20/59） was diabetes mellitus, 25.4% （15/59 ） was hyperthyreosis, others were rare endocrine diseases, for example primary hyperaldosteronism and Cushing syndrome, et al. Conclusions Endocrine disease is an important reason of hypokalemia. The doctor should attach importance to the diagnosis and treatment of hypokalemia caused by endocrine disease.