CAJ | 학술논문

目的：探讨急性心急梗死冠脉介入术后患者低钾血症发生原因，并总结护理要点。方法观察分析96例急性心肌梗死行冠脉介入患者术后发生低血钾情况及原因。结果57例发生低钾血症，发生率为59.4%（57/96），给予饮食补钾、口服补钾、雾化吸入补钾及静脉补钾后，患者血钾恢复正常。低钾血症发生与术后摄入不足、排出过多、分布异常及造影剂的使用有关。结论急性心肌梗死介入治疗后患者较易发生低钾血症，术后应密切观察患者病情变化情况，针对原因采取多种补钾方式纠正患者低钾血症。
목적：탐토급성심급경사관맥개입술후환자저갑혈증발생원인，병총결호리요점。방법관찰분석96례급성심기경사행관맥개입환자술후발생저혈갑정황급원인。결과57례발생저갑혈증，발생솔위59.4%（57/96），급여음식보갑、구복보갑、무화흡입보갑급정맥보갑후，환자혈갑회복정상。저갑혈증발생여술후섭입불족、배출과다、분포이상급조영제적사용유관。결론급성심기경사개입치료후환자교역발생저갑혈증，술후응밀절관찰환자병정변화정황，침대원인채취다충보갑방식규정환자저갑혈증。
Objective To explore the main factors of hypokalemia in the patients with acute myocardial infarction after PCI.Method The clinical data of ninety-six patients with myocardial infarction after PCI were analyzed to look into the reasons for hypokalemia.Results Fifty-seven patients contracted hypokalemia,with a rate of 59.4%.The complication was cured by dietetic supplementation of potassium,oral supplementation of potassium,and potassium supplementation by atomization inhalation and intravenous infusion.The reasons for hypokelemia included inadequate input,over-ejectment,abnormal distribution of potassium and use of contrast agent.Conclusions Patients with myocardial infarction after PCI are more susceptible to hypokalemia.Therefore,it is a need to correct hypokelemia by means of potassium supplementation.