血液透析抢救急、慢性肾衰竭合并高钾血症123例临床分析

The clinical analysis for 123 cases applying hemodialysis rescue acute or chronic renal failure patients complicated with hyperkalemia

目的总结123例急慢性肾衰竭合并高钾血症患者的诊断和治疗经验。方法常规内科药物对症治疗同时血液透析。结果123例患者均抢救成功。结论心电图(ECG)表现在高钾血症的诊断、治疗效果的判断上具有明显的优势,诊断方便且符合率高,可作为临床诊断高钾血症的重要方法,血液透析是抢救高钾血症的最有效和最快的方法。

Objective:To summarize the diagnostic and treatment experience of 123 cases of acute or chronic renal failure complicated with hyperkalemia.Methods:Routine medical expectant treatment and hemodialysis were used.Results:Alltheemergent treatments were successful in 123 cases.Conclusions: Electrocardiogram(ECG) expression had evident advantage in judgement on the outcome of diagnosis and treatment for hyperkalemia.Tmethod had the advantage of easy diagnosis and high coincidence.Itshould be considered important choice for hyperkalemia.Hemodialysis is the most efficient and fastest method for rescuing hyperkalemia.