PPT课件|围术期高钾血症的识别与救治

2021
10/14

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防止高钾血症复发。














































附录(高钾血症的紧急治疗):


 

1

保护心脏。

 

2

将钾转移到细胞内。

 

3

清除体内K+:对于难治性高钾血症心脏骤停,考虑在心肺复苏期间启动血液透析,考虑体外心肺复苏(ECPR)。

 

4

监测血清钾和葡萄糖水平。

 

5

防止高钾血症复发。


公众号内回复:[高钾血症] 获取PPT原稿


— 参考文献 (部分)—


1.Boddy K, King PC, Hume R, Weyers E. The relation of total body potassium to height, weight, and age in normal adults. J Clin Pathol 1972; 25:512.

2.Wang WH, Giebisch G. Regulation of potassium (K) handling in the renal collecting duct. Pflugers Arch 2009; 458:157.

3.Giebisch GH, Wang WH. Potassium transport--an update. J Nephrol 2010; 23 Suppl 16:S97.

4.Youn JH, McDonough AA. Recent advances in understanding integrative control of potassium homeostasis. Annu Rev Physiol 2009; 71:381.

5.Mount DB, Zandi-Nejad K. Disorders of potassium balance. In: Brenner and Rector's The Kidney, 9th Ed, WB Saunders & Company, Philadelphia 2011. p.640.

6.Clausen T, Everts ME. Regulation of the Na,K-pump in skeletal muscle. Kidney Int 1989; 35:1.

7.Bundgaard H, Schmidt TA, Larsen JS, Kjeldsen K. K+ supplementation increases muscle [Na+-K+-ATPase] and improves extrarenal K+ homeostasis in rats. J Appl Physiol (1985) 1997; 82:1136.

8.Palmer LG, Frindt G. Regulation of apical K channels in rat cortical collecting tubule during changes in dietary K intake. Am J Physiol 1999; 277:F805.

9.Jackson CA. Rapid renal potassium adaptation in rats. Am J Physiol 1992; 263:F1098.

10.Rabelink TJ, Koomans HA, Hené RJ, Dorhout Mees EJ. Early and late adjustment to potassium loading in humans. Kidney Int 1990; 38:942.

11.Frindt G, Shah A, Edvinsson J, Palmer LG. Dietary K regulates ROMK channels in connecting tubule and cortical collecting duct of rat kidney. Am J Physiol Renal Physiol 2009; 296:F347.

12.Garg LC, Narang N. Renal adaptation to potassium in the adrenalectomized rabbit. Role of distal tubular sodium-potassium adenosine triphosphatase. J Clin Invest 1985; 76:1065.

13.Mujais SK. Renal memory after potassium adaptation: role of Na+-K+-ATPase. Am J Physiol 1988; 254:F845.

14.Palmer LG, Antonian L, Frindt G. Regulation of apical K and Na channels and Na/K pumps in rat cortical collecting tubule by dietary K. J Gen Physiol 1994; 104:693.

15.Terker AS, Zhang C, McCormick JA, et al. Potassium modulates electrolyte balance and blood pressure through effects on distal cell voltage and chloride. Cell Metab 2015; 21:39.




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关键词:
高钾血症,围术期,PPT,救治

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