中毒患者洗胃后血清电解质异常的临床分析

马天龙; 黄培培; 张劲松; 孙昊; 乔莉; 陈旭锋

doi:10.13201/j.issn.1009-5918.2017.04.002

中毒患者洗胃后血清电解质异常的临床分析

- 南京医科大学第一附属医院急诊中心(南京, 210029)
基金项目:
江苏省科技项目 (No:BL2014088)

详细信息

通讯作者: 张劲松, E-mail:zhangjso@njmu.edu.cn

中图分类号: R595

收稿日期: 2017-03-16

Clinical analysis of serum electrolyte disturbance in the poisoning patients treated with gastric lavage

- Department of Emergency, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China

More Information

Corresponding author: ZHANG Jinsong, E-mail: zhangjso@njmu.edu.cn

Received Date: 16 March 2017

摘要

摘要: 目的: 探讨口服中毒患者洗胃治疗后血清电解质异常发病的相关因素。方法: 回顾分析我院2015-06-2016-12收治的给予清水洗胃的147例中毒患者临床资料。结果: 洗胃后血清电解质异常的发病率为71.43%,其中钾离子37.41%、钠离子26.53%、氯离子23.81%、钙离子27.89%。147例中毒患者的28 d病死率为42.18%,死亡组和存活组患者白细胞计数、中性粒细胞计数、血红蛋白、血清钾离子浓度、尿素氮、肌酐比较差异有统计学意义(P<0.05),其中死亡组中重度低钾血症的发病率(29.03%)大于存活组(4.71%)。洗胃液量(GV)<20 L组血清钾离子浓度大于GV≥20 L组(P<0.05)。结论: 中毒患者洗胃后较易发生血清电解质的异常,以血清钾离子最为多见,尤其在GV≥20 L时。
- 中毒 /
- 洗胃 /
- 电解质 /
- 低钾血症
Abstract: Objective: To investigate the related factors of serum electrolyte derangement after gastric lavage (GL) in oral poisoning patients. Method: The clinical data of 147 patients treated with GL in our hospital were analyzed retrospectively. Result: The incidence of serum electrolyte derangement was 71.43% after GL,including 37.41% potassium ion,26.53% sodium ion,23.81% chloride ion and 27.89% calcium ion.Total 28 d mortality rate was 42.18%.The white blood cell count,neutrophil count,hemoglobin,serum potassium concentration,blood urea nitrogen and serum creatinine in death group and survival group were significantly different (P<0.05,respectively).The incidence of moderate to severe hypokalemia (K<3.0 mmol/L) in death group (29.03%) was higher than that in survival group (4.71%).The serum potassium concentration in the GV<20 L group was higher than that in the GV ≥ 20 L group (P<0.05). Conclusion: The serum electrolytes derangement are more likely to occur after GL in patients with poisoning,and lectrolyte disorders are more common in serum potassium,especially when GV ≥ 20 L.
- poisoning /
- gastric lavage /
- electrolyte /
- hypokalemia

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