低钾麻痹患者的急诊治疗分析

Analysis of Emergency Treatment of Hypokalemia Paralysis

目的分析低钾麻痹临床诊治方案。方法回顾性分析2011年1月~2015年1月间我院急诊科收治的74例低钾麻痹患者临床资料,分析患者发病诱因及诊治方案和效果。结果 74例患者中有明显诱发因素50例（67.57%）,24例无明显诱因（32.43%）;根据患者病情给予补钾、补镁治疗方案后,死亡2例（2.70%）,治疗成功72例（97.30%）。结论低钾麻痹急诊治疗中需充分考虑致病因素,及早诊治,根据患者具体情况用药,以最大限度提高抢救成功率。

Objective To analyze the diagnosis and treatment of hypokalemic paralysis. Methods A retrospective analysis of 74 cases of hypokalemic paralysis patients from January 2011 to January 2015 in our hospital, analysis of predisposing causes and treatment scheme and effect. Results 74 patients have obvious predisposing factors in 50 cases（67.57%）, 24 cases（32.43%）; no obvious cause for potassium, magnesium supplementation therapy according to the condition of patients, 2 cases died（2.70%）, 72 cases of successful treatment（97.30%）. Conclusion The need to fully consider the risk factors, low potassium paralysis in emergency treatment of early diagnosis and treatment, according to the specific circumstances of patients, in order to maximize the success rate of rescue.