静脉输液期间的低钠血症和低钾血症。
Hyponatraemia and hypokalaemia during intravenous fluid administration.
作者信息
Armon K, Riordan A, Playfor S, Millman G, Khader A
机构信息
Norfolk and Norwich University Hospital NHS Trust, Colney Lane, Norwich, Norfolk NR4 7UY, UK.
出版信息
Arch Dis Child. 2008 Apr;93(4):285-7. doi: 10.1136/adc.2006.093823. Epub 2007 Jan 9.
BACKGROUND
Hospital-acquired hyponatraemia is associated with excessive volumes of hypotonic intravenous fluids and can cause death or permanent neurological deficit.
METHODS
A cross-sectional survey was carried out in 17 hospitals on all children receiving intravenous fluids during 1 day of a specified week in December 2004.
RESULTS
77 of 99 children receiving intravenous fluids received hypotonic solutions and 38% received >105% of fluid requirements. 21 of 86 children were hyponatraemic, but the electrolytes of only 79% had been checked in the preceding 48 h.
CONCLUSIONS
Intravenous fluids should be used with caution as regards the tonicity and volume administered, and with appropriate monitoring of serum electrolytes.
背景
医院获得性低钠血症与大量低渗静脉输液有关，可导致死亡或永久性神经功能缺损。
方法
2004年12月某特定周的一天，在17家医院对所有接受静脉输液的儿童进行了横断面调查。
结果
99名接受静脉输液的儿童中，77名接受了低渗溶液，38%的儿童接受的液体量超过需求的105%。86名儿童中有21名低钠血症，但在前48小时内仅79%的儿童检查了电解质。
结论
静脉输液在张力和给药量方面应谨慎使用，并对血清电解质进行适当监测。
Zotero 插件