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| 원저 : 투석 환자와 비투석 환자에서 고칼륨혈증의 원인 및 치료에 대한 고찰 (Original Articles : The Analysis of Causes and Treatments of Hyperkalemia) |
| 최창렬(Chang Ryeol Choi),조형도(Hyung Do Cho),강태영(Tae Young Kang),이동규(Dong Kyu Lee),유준호(Jun Ho Ryu),한상웅(Sang Woong Han),김호중(Ho Jung Kim),최성일(Sung Il Choi) |
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| Abstract |
Background
Hyperkalemia is a common, potentially life-threatening disorder. We studied the causes and treatments of hyperkalemia in korean with and without dialysis. We also sought to analyze how to treat and prevent hyperkalemia. Methods: we reviewed medical records of 60 patients with serum or plasma; potassium levels more than 6.0 mEq/L. Twenty of them had been on maintenance dialysis. We analyzed causes of hyperkalemia and studied the sequence of it's treatment. Results: The causes of hyperkalemia were mostly related to noncompliance(55%) and diet(35%) in patients with dialysis. In contrast, acute renal failure (72.5%) and drugs(15%) were the leading causes in patients without dialysis. Drugs causing hyperkalemia included angiotensin-converting enzyme inhibitor, NSAID and potassium-sparing diuretics. Sequence of various treatments were in order intravenous calcium, dialysis, insulin and calcium polystyrene sulfonate in patients with dialysis but intravenous calcium, insulin, calcium polysyrene sulfonate with dialysis. There was no case of death by arrhythmia caused hyperkalemia. Conclusion: The prevention of hyperkalemia in korean included dietary potassium restriction and compliance on dialy |
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