外来工作人员低钾血症64例临床分析

目的探讨外来工作人员低钾血症的发病因素、临床特点及治疗方法，提高诊治水平。方法回顾性分析2003年1月至2007年12月间收治的64例低钾血症患者的临床资料。结果50例（78．1％）在发病之前受到不当治疗。12例重度低钾血症患者及5例心律失常及其他所有病例经口服、静脉补钾等治疗后症状均获缓解。结论外来工作人员低钾症患者的主要发病因素可能与滥用地塞米松和某些抗生素有关，与摄入不足有关；另外在治疗重度低钾血症时除常规补钾的基础上，辅以安体舒通、精氨酸和门冬氨酸钾镁治疗是安全有效的。

Clinical analysis on hypokalemia in 64 cases of migrant workers

Obcjective This paper was to explore the cause, clinical characteristics and treatment method for hypokalemia in migrant workers so as to promote its diagnosis and treatment. Methods The clinical data of 64 patients with hypokalemia admitted and treated during the period from January 2003 to December. 2007 were retrospectively analyzed. Results Fifty cases （ 78.1% ） had received improper treatment before the occurrence of disease. The symptoms in 12 cases of serious hypokalemia mid 5 cases of arrhythmia and all other cases were all relieved after oral or intravenous administration of kalium supplement. Conclusion The main cause of hypokalemia in migrant workers was possibly related to the misuse of dexamethasone and some antibiotics and insufficient intake. In addition, on the basis of routine kalium supplement, the treatment for serious hypokalemia should be supplemented with spironolactone, arginine and potassium magnesium aspartate, which are safe and effective.