关键词: 电解质紊乱, 血气分析

Abstract: 【Abstract】〓Objective〓To investigate the correlation between electrolyte changes and different types of operations by blood gas analysis, so as to provide some clues for early interventions. Methods 995 surgical cases were collected in the Sun Yat-sen Memorial Hospital from January 2012 to April 2013. The arterial blood samples of patients undergoing different types of operations were collected and sent for blood gas analysis by ABL800 analyzer at the beginning of the operations. Different type of electrolyte disorders occurred in different types of operations were noted,and statistic analysis were made by SPSS 13.0. Results〓Hypokalemia,hyperkalemia,hypocalcaemia,and hypercalcemia were correlated with the types of operations (P<0.05), while the association between serum sodium disorders and the types of operations was not significantly different(P>0.05). Hypokalemia and hypocalcemia were common seen in hepatobiliary surgical cases,gastrointestinal surgical cases and gynecological surgical cases. Otherwise, the association between ages and the types of electrolyte disorders was not significantly different (P>0.05). Conclusion〓Perioperative electrolyte disorders were closely related to the types of operations. More attention should be paid to electrolyte changes of patients undergoing hepatobiliary surgery,gastrointestinal surgery or gynecological surgery so that we can correct the electrolyte disorders in time.

Key words: Electrolyte disorders, Blood gas analysis