Truniger B
MMW Munch Med Wochenschr. 1976 Mar 26;118(13):391-4.
The question of what factors determine the significance of abnormal electrolyte findings is discussed with reference to a number of examples of acute electrolyte emergencies (hyponatremia, hypernatremia, hypokalemia, hyperkalemia, metabolic alkalosis). In addition to the extent of the deviation from normal and the clinical manifestations already present in all cases, it is principally the rate of dysfunction which determines the action of a clinical or laboratory-determined electrolyte deviation.
结合一些急性电解质紧急情况(低钠血症、高钠血症、低钾血症、高钾血症、代谢性碱中毒)的例子,讨论了哪些因素决定异常电解质检查结果的重要性这一问题。除了偏离正常范围的程度以及所有病例中已有的临床表现外,主要是功能障碍的速度决定了临床或实验室确定的电解质偏差的影响。