老年冠心病合并低血钾原因分析

Reason Analysis of Low Blood Potassium in Senile Patients with Coronary Heart Disease

目的:探讨老年冠心病患者低血钾的原因,并据此进行针对性治疗。方法:回顾性分析在我院住院的60例低血钾的原因。结果:60例患者中肾外失钾25例,利尿药导致肾失钾35例;同时患有糖尿病的老年冠心病患者低钾血症36例,不合并糖尿病的冠心病患者24例。患有糖尿病的老年冠心病患低钾血症的发病率明显高于不合并糖尿病的患者(P<0.05)。结论:及时发现、及时处理可能发生低血钾的原因,有助于减少低血钾的发生及预防危重症状的出现。

Objective:To explore the causes and therapy of hypokalemia in elderly patients with coronary heart disease .Methods:60 cases of hypokalemia in our department were analyzed retrospectively .Results:In 60 patients ,There were 25 cases of renal potassium loss , 35 cases of renal potassium loss for diuretics ,36 cases of hypokalemia patients with diabetes and coronary heart disease , 24 cases of coronary heart disease but no diabetes.The hypokalemia incidence in diabetic patients was significantly higher than in non diabetic patients (P<0.05).Conclusion:Low blood potassium may be founded and treated timely , which can help to reduce the incidence of hypokalemia and prevent turning up severe symptoms .