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选取2010-06-01-2010-06-30我院ICU重度酸中毒合并重度低钾血症患者4例,对其治疗措施及转归进行总结、分析。1临床资料1.1一般资料4例患者均为女性,年龄32~83(平均53.2)岁;均符合ICU收治标准,入ICU时血钾均小于2.5 mmol/L且血气分析显示pH小于7.2;或HCO3-小于15 mmol/L,入ICU后均行心电、血压、脉搏血氧饱和度等连续监测,保留尿管并记录单小时尿量,定期检测血钾、血气分析、肾功能等。ICU收治标准根据2006年版中国重症加强治疗病房(ICU)建设与管理指南执行[1]。4例中有慢性肾功能不全病史者1例,高血
Select the 2010-06-01-2010-06-30 ICU severe acidosis in our hospital with severe hypokalemia in 4 patients, the treatment measures and prognosis were summarized and analyzed. 1 clinical data 1.1 General Information 4 patients were female, aged 32 to 83 (average 53.2) years of age; are in line with ICU criteria for admission into the ICU potassium were less than 2.5 mmol / L and blood gas analysis showed that the pH is less than 7.2; or HCO3 - less than 15 mmol / L, continuous ECG, blood pressure, pulse oximetry and other continuous monitoring were performed after ICU admission. Urinary catheters were preserved and single-hour urine output was recorded. Blood potassium, blood gas analysis and renal function were regularly monitored. ICU admitted standards According to the 2006 edition of China’s intensive intensive care unit (ICU) construction and management guidelines [1]. 4 cases had a history of chronic renal failure in 1 case, high blood