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目的:探讨医源性低钾性麻痹的临床特点、治疗及转归。方法:回顾性分析2005年1月~2013年1月我院收治因用药不当引起的21例医源性低血钾麻痹症。结果:21例医源性低血钾麻痹症患者均为首次发生,引起低血钾麻痹的药源性因素包括葡萄糖、地塞米松、丁胺卡那霉素、洁霉素等。所有患者经过口服和静脉滴注钾后均痊愈出院。结论:葡萄糖、地塞米松是诱发低血钾麻痹的常见药物,在使用上述药物过程中应加强观察,防治低血钾麻痹,减少医患纠纷。
Objective: To investigate the clinical characteristics, treatment and prognosis of iatrogenic hypokalemic paralysis. Methods: A retrospective analysis of January 2005 to January 2013 admitted to our hospital due to improper use of drugs caused by 21 cases of iatrogenic hypokalemia paralysis. Results: Twenty-one cases of iatrogenic hypokalemia patients were the first occurrence, the drug-induced factors of hypokalemia paralysis include glucose, dexamethasone, amikacin, lincomycin and so on. All patients were discharged after oral and intravenous drip of potassium. Conclusion: Dexamethasone and dexamethasone are common drugs for inducing hypokalemia paralysis. In the course of using these drugs, we should strengthen observation to prevent hypokalemia paralysis and reduce doctor-patient disputes.