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低钾血症:临床最新进展

Hypokalemia: a clinical update.

作者信息

Kardalas Efstratios, Paschou Stavroula A, Anagnostis Panagiotis, Muscogiuri Giovanna, Siasos Gerasimos, Vryonidou Andromachi

机构信息

Department of Endocrinology and DiabetesEvangelismos Hospital, Athens, Greece.

Division of Endocrinology and Diabetes'Aghia Sophia' Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Endocr Connect. 2018 Apr;7(4):R135-R146. doi: 10.1530/EC-18-0109. Epub 2018 Mar 14.

Abstract

Hypokalemia is a common electrolyte disturbance, especially in hospitalized patients. It can have various causes, including endocrine ones. Sometimes, hypokalemia requires urgent medical attention. The aim of this review is to present updated information regarding: (1) the definition and prevalence of hypokalemia, (2) the physiology of potassium homeostasis, (3) the various causes leading to hypokalemia, (4) the diagnostic steps for the assessment of hypokalemia and (5) the appropriate treatment of hypokalemia depending on the cause. Practical algorithms for the optimal diagnostic, treatment and follow-up strategy are presented, while an individualized approach is emphasized.

摘要

低钾血症是一种常见的电解质紊乱,在住院患者中尤为常见。它可能有多种原因,包括内分泌原因。有时,低钾血症需要紧急医疗关注。本综述的目的是提供有关以下方面的最新信息:(1)低钾血症的定义和患病率,(2)钾稳态的生理学,(3)导致低钾血症的各种原因,(4)评估低钾血症的诊断步骤,以及(5)根据病因对低钾血症进行适当治疗。文中给出了优化诊断、治疗和随访策略的实用算法,同时强调了个体化方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57bc/5881435/d3841450851b/ec-7-R135-g001.jpg

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