医学英语视频低钾血症的原因表现治疗
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Hypokalemia(低钾血症)referstoabnormallylowlevelsofpotassiumintheblood.
Innormalcircumstances,morethanninetypercentofthetotalbodypotassiumisintracellular,theremainingisintheextracellularfluidandbloodplasma.
正常情况下,全身90%以上的钾位于细胞内,其余的位于细胞外液和血浆中。
Theratio(比率)ofintracellular(细胞内的)toextracellular(细胞外的)potassiumisimportantforgenerationofactionpotentials(动作电位),andisessentialfornormalfunctionsofneurons(神经元),skeletalmuscles(骨骼肌),andcardiacmuscles(心肌).
Thisiswhypotassium(钾)levelsinthebloodarestrictlyregulatedwithinanarrowrangebetween3.5and5millimolesperliter(mmol/L).
Asthenormaldailydietaryintakeofpotassiumvarieswidelyandcanbeasmuchasmillimolesaday.Thebodymustquicklyandprecisely(精确地)reacttokeepbloodpotassiumlevelswithinthenormallimits.
Thisisachievedbytwomechanisms(两种机制):excretionofpotassiumthroughthekidneys(肾脏)andintestines(肠)withthekidneysplayingapredominantrole(主要的角色),shiftingofpotassiumfromtheextracellularfluidintothecellsbythesodiumpotassiumpump(钠钾泵).
Thepumpismainlyregulatedbyhormonessuchasinsulin(胰岛素)andcatecholamines(儿茶酚胺).Hypokalemiaisdefinedasaserumpotassiumconcentration(血清钾浓度)lowerthan3.5millimeterliter.
Hypokalemiamayresultfromincreasedexcretioninadequateintakeorshifttopotassiumfromtheextracellularfluidintothecells.
低钾血症可能是由排泄增加,摄入量不足或钾从细胞外液转移到细胞内所致。
Poorintakeorintracellularshiftalonerarelycausesthedisease,butmaybeacontributingfactor(影响因素).Most
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