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低钾血症诊治与管理专家共识(2026)OA

Expert consensus on the diagnosis,treatment and management of hypokalemia(2026)

中文摘要英文摘要

低钾血症(hypokalemia)作为临床常见的电解质紊乱类型,其整体评估与诊治流程复杂,尤其是老年人群表现不典型,常出现延误诊治情况.该共识由全科医学、内分泌学、心血管病学等多学科专家共同撰写,详细论述了低钾血症的定义、危险分层、流行病学、病因与发病机制,全面总结了低钾血症的诊断流程,包括详细问诊、体格检查和评估,具体阐述了低钾血症的个体化治疗原则和治疗措施.共识还强调了低钾血症的社区管理,包括筛查、综合管理、转诊等,同时从智能化系统及健康管理体系构建等方面提出了低钾血症诊治与管理的未来方向,旨在为临床提供低钾血症的病因与发病机制、诊断、治疗、社区管理、未来方向等综合性指导,以期缩短确诊时间、明确诊疗方案、提升患者生存质量,为医院与社区管理低钾血症提供切实理论与实证基础.

Hypokalemia,as a prevalent clinical electrolyte disorder,involves complex processes in comprehensive assessment,diagnosis,and management.Its presentation is often atypical in elderly populations,frequently leading to delayed diagnosis and treatment.This consensus document,developed by multidisciplinary experts in general practice,endocrinology,cardiology,and related fields,systematically elaborates on the definition,risk stratification,epidemiology,etiology,and pathogenesis of hypokalemia.It provides a comprehensive summary of the diagnostic workflow,including detailed history-taking,physical examination,and evaluation.The consensus delineates individualized treatment principles and specific therapeutic measures,and underscores the importance of community-based management—covering screening,integrated care,and referral mechanisms.Furthermore,it outlines future directions in hypokalemia management,such as the development of intelligent systems and health management frameworks.The document aims to deliver integrated guidance on etiology,pathogenesis,diagnosis,treatment,and community management of hypokalemia,with the goal of shortening diagnostic time,clarifying treatment strategies,improving patients'quality of life,and offering an evidence-based foundation for hospital and community-level hypokalemia care.

海峡两岸医药卫生交流协会全科医学分会;中国老年医学学会;浙江省医学会全科医学分会;浙江省数理医学学会全科未分化疾病专委会;任菁菁

医药卫生

低钾血症诊断治疗管理专家共识

hypokalemiadiagnosistreatmentmanagementexpert consensus

《中国实用内科杂志》 2026 (4)

284-301,18

国家自然科学基金(72274169)

10.19538/j.nk2026040101

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