血清电解质危急值在临床中的应用

Clinical Application of Serum Electrolyte Critical Value

目的探讨该院血清电解质危急值制度的建立与临床应用价值。方法以2017年1月-2018年12月为时限,择取该院76例血清电解质达危急值的患者为研究对象,回顾性分析患者临床资料,观察患者性别与年龄分布、疾病诊断、血清电解质指标水平及疾病转归情况。结果 76例患者中,1项电解质危急值59例(77.63%),2项电解质危急值17例(22.37%),构成比最高的前3位电解质异常项目依次为低钾(52.69%)、低氯(19.35%)和高钾(12.90%)。经治疗,76例电解质异常均得到纠正,无死亡病例,治疗有效率100.00%。结论电解质危急值的确立,能够帮助临床发现电解质异常危重病例,为医生有效诊治提供有价值的依据,值得推广啧啧啧使用。

Objective To explore the establishment and clinical application value of the serum electrolyte critical value system in our hospital.Methods From January 2017 to December 2018 76 patients with serum electrolytes to reach critical value were selected in our hospital.The clinical data of patients were retrospectively analyzed.The gender and age distribution,disease diagnosis and serum electrolytes were observed.Indicator levels and disease outcomes.Results Of the 76 patients,1 had an electrolyte critical value of 59 case(77.63%)and 2 had an electrolyte critical value of 17 case(22.37%).The highest proportion of the top three electrolyte abnormalities were low potassium(52.69%)and low chlorine(19.35%)and high potassium(12.90%).After treatment,76 cases of electrolyte abnormalities were corrected,no deaths,the treatment efficiency was 100.00%.Conclusion The establishment of electrolyte critical value can help clini-cally identify critical cases of electrolyte abnormalities,and provide valuable evidence for effective diagnosis and treat-ment of doctors.It is worthy of popularization.