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电解质急症的治疗方法。

Therapeutic approach to electrolyte emergencies.

作者信息

Schaer Michael

机构信息

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, PO Box 100126, Gainesville, FL 32610-0126, USA.

出版信息

Vet Clin North Am Small Anim Pract. 2008 May;38(3):513-33, x. doi: 10.1016/j.cvsm.2008.01.012.

Abstract

Hypokalemia, hyperkalemia, hyponatremia, hypernatremia, hypocalcemia, and hypercalcemia are commonly seen in emergency medicine. Severe abnormalities in any of these electrolytes can cause potentially life-threatening consequences to the patient. It is essential that the clinician understand and correct (if possible) the underlying cause of each disorder and recognize the importance of the rates of correction, especially with serum sodium disorders. The recommended doses in this article might have to be adjusted to the individual patient, and these modifications must be adjusted again to the pathophysiology of the primary underlying disorder.

摘要

低钾血症、高钾血症、低钠血症、高钠血症、低钙血症和高钙血症在急诊医学中很常见。这些电解质中任何一种出现严重异常都可能给患者带来潜在的危及生命的后果。临床医生必须了解并(如果可能的话)纠正每种病症的潜在病因,并认识到纠正速度的重要性,尤其是对于血清钠紊乱。本文中的推荐剂量可能需要根据个体患者进行调整,而且这些调整必须再次根据原发性潜在病症的病理生理学进行调整。

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