查詢結果分析
相關文獻
- 漫談急診處常見之電解質異常
- 體液與電解質
- Osmotic Demyelination Syndrome in a Patient Chronic Hyponatremia and Hypokalemia
- Towards a Better Understanding of Hyponatremia: The Importance of Calculating a Tonicity Balance
- Acute Hyponatremia and Hypokalemia Associated with Indapamide--A Case Report
- 急症醫學之血鉀異常
- 低血鉀症與高血鉀症
- 腹膜透析患者的鉀離子變化
- 高低血鈉症之急診治療
- 低血鉀症與高血鉀症
頁籤選單縮合
題名 | 漫談急診處常見之電解質異常=Electrolyte Imbalance for Emergency Practice |
---|---|
作者姓名(中文) | 林廷燦; | 書刊名 | 內科學誌 |
卷期 | 8:4 1997.12[民86.12] |
頁次 | 頁162-172 |
分類號 | 415.597 |
關鍵詞 | 電解質危象; 高血鈉; 低血鈉; 高血鉀; 低血鉀; Electrolyte emergency; Hypernatremia; Hyponatremia; Hyperkalemia; Hypokalemia; |
語文 | 中文(Chinese) |
中文摘要 | 電解質異常的認知及處理是急診室很重要的一環工作。內科疾患通常會導致各種 不同的電解質不平衡。而電解質異常會導致心臟電氣及機械功能之異常乃眾所皆知之事實。 若為了解電解質這對心臟之影響,吾人必需知道各種電解質不平衡在臨床之表徵以及相關心 電圖之變化,可使醫生追查病因,對症下藥。再者如何緊急各種危急生命之電解質危象,以 利病人度過難關,並袪除致病的加重因子,以防再發。以急診室常見病例:高血鈉常見於中 風長期臥床合併脫水之病人。而低血鈉常見於頑固性鬱血性心衰竭病人;高血鉀常見於急慢 性腎衰竭病人、急診室毒蛇蛟傷或是吃草魚生食片誤食草魚膽,皆可能誘發性腎衰竭。低血 鉀常見於過度使用利尿劑病人;另外,急性腸胃炎、食物中毒、一直下痢,也可見到低血鉀, 這些病人急需鉀離子之補充,通常這些病人常以腹痛為主訴來急診就醫。鎂鉀離子習習相關, 因此也需我們特別注意。此外,高血鈣常見於惡性腫瘤合併骨頭轉移,低血鈣較不常見,若 頸部有一疤痕,出現神經異常,則需考慮伴有副甲狀腺機能低下毛病。因此本文著墨於理論 與實際之配合,將提出急診室各個電解質不平衡臨床變化以及因應之道,這包含鉀、鈣、鎂、 鈉四大離子高低之表徵,並配合急診實際之臨床所見及相關臨床表徵變化敘述,提供從事急 護工作之內科同仁當參考。 同仁當參考。 |
英文摘要 | Electrolyte emergency(EE) is one of the important issues in emergency practice(EP). Sodium(NA), potassium(K), and calcium(Ca) are the major ions responsible for the normal electrical activity of the heart. Clinically recognizable disturbances in cardiac electrical and mechanical function may occur secondary to abnormal concentrations of these ions. Because many medical fields involved the electrolyte disturbance, handling EE in emergency room (ER) very smoothly is a challenging task for EP. For defining their ECG manifestations of major ions crisis associated with different medical clinical emergent conditions, we should understand clinical and ECG manifestations as well as prompt managements in major ions kisorders. Hypematremia is often seen in the stroke patients with dehydration presenting with mental confusion. In contrast, hyponatremia usually occurs in the setting of refractory congestive heart failure with the activation of renin- angiotensin system. In ER, hyperkalemia was often found in renal shuntdown. On the contrary, acute selvere gastroenteritis or food poisoning induce the fluid and electrolyte loss resulting in hypokalemia. In ER, hypercalcemia usually develops in patients with malignancy and bone metastasis. If patients had the neurological sigh with neckscar presenting with past history of hyperthyrodism, we should consider the possibilith of hypocalcemia. In all, electrolyte disturbance displays variable clinical manifestations. It deserves our special attentions. Thus, in this review article, we with emphysize the every focus of clinical presentations as we as ECG and basic emchanisms for electrolyte imbalance encountered frequently in ER. Hopefully, it will help the begin ners in ER. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。