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789

减肥成为全民运动,不过,医生提醒,上了年纪的人应该吃得营养,避免体重过轻造成营养不良,合并肌肉无力,加上免疫力低下,可能导致长期卧床,引发泌尿道感染、皮肤慢性感染,几乎没有生活品质可言。
一名70多岁的病人,因为吃不下,全身虚弱无力,头晕好几天后,被家人送来急诊。检查发现,他严重贫血,及泌尿道感染,不仅体重过轻,同时电解质异常,血中的钾离子很低。
钾离子正常值为3.5~4.5(mEq/L),但病人血中的钾离子仅为2.3(mEq/L),极度的低血钾,导致肌肉无力,同时心电图异常,心电图的心肌病变,如果没有即时治疗,恐引发致命性的心律不整。
老年人如果慢性营养不良及贫血,同时合并食欲不振,可能是肠胃道问题,该病患在紧急输血后,虽然住院中的粪便并无潜血反应,但还是建议肠胃道摄影,结果发现,胃食道胃酸逆流、食道发炎出血现象,以及胆管胆结石阻塞,经给予制酸剂及促进肠胃蠕动药物,该病人食欲明显改善。
在钾离子低落方面,经连续3天的点滴及饮食补充后,钾离子逐渐上升,回到正常值,刘文胜说,如果补充钾离子的速度太快,除了导致疼痛,甚至会引发心跳停止,不可不慎。
老年人病症表现,往往症状不明显,以倦怠无力为主要表现,原因在于严重营养不良,肾功能正常,却因为摄食太少,而造成缺乏钾离子、肌肉无力以及心电图异常。
建议老年人应该饮食均衡,并在营养师的评估下,采用高钾饮食,补充香蕉、坚果、菠菜或是柑橘类的果汁。此外,血中钾离子太高或太低,都会引发心律不整,建议老年人在食补之前,先寻求医生营养师的协助。
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