关键词:

血液透析, 低钾血症, 心律失常, 摄入水果

Abstract:

Objective　To analyze the effect of fruit intake during dialysis on a maintenance hemodialysis patient with arrhythmia caused by hypokalemia during dialysis. Methods　A female patient undergoing maintenance hemodialysis in Guangdong Provincial People's Hospital was found to have arrhythmia due to hypokalemia during dialysis, which did not respond well to medication. According to the food composition exchange table, the fruit with potassium content of about 842 mg and sugar content of about 64 g was converted into the total amount, and the total amount was divided into 2/3 and 1/3. The patient was instructed to take 2/3 portions of fruit at the beginning of dialysis and 1/3 portion of fruit at 2 hours of dialysis. The serum potassium and blood glucose levels and electrocardiogram were closely monitored during dialysis and before the next dialysis. Results　After 7 dialysis courses (nearly a month) of follow-up, the patient's serum potassium was stable during dialysis, the arrhythmia and hypoglycemia were improved, and the constipation was relieved. Conclusions　Intake of fruit with potassium content of 842 mg and sugar content of about 64 g during dialysis can improve arrhythmia and constipation during dialysis. However, the efficacy for other dialysis patients should be confirmed by a series of prospective studies.

Key words:

Hemodialysis, Hypokalemia, Arrhythmia, Fruit intake