Potassium and massive blood transfusion.
Potassium and massive blood transfusion.
复制标题
钾和大量输血。
作者：
Reddy Sv;K. Sein
对 60 名在术中和/或术后立即接受大量输血的患者进行了分析。六名患者患有低钾血症，两名患者患有高钾血症。导致电解质紊乱（尤其是钾）的多因素变化与低血压、体温过低、酸中毒、pH 值和儿茶酚胺释放有关。讨论了与麻醉相关的钾变化。强调大量输血期间常规补钙的危险。
Sixty patients who received massive blood transfusion intraoperatively and/or in the immediate post-operative period were analysed. Six patients had hypokalemia and two had hyperkalemia. The multifactorial changes leading to electrolyte disturbances especially involving potassium are discussed in relation to hypotension, hypothermia, acidosis, pH, and release of catecholamine. Potassium changes in relation to anaesthesia are discussed. The danger of routine administration of calcium during massive blood transfusion is stressed.