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Journal of the Korean Academy of Family Medicine 1988;9(2):1-5.
Published online February 1, 1988.
입원 환자에서 상용으로 시행한 혈청 전해질 검사의 유용성에 대한 고찰
이인동 오한진 이혜리 윤방부
연세대학교의과대학 가정의학교실
Abstract
4. As medical problems increase the routine chemical tests, blood tests, urinalysis, stool examination, Electrocardiography. Rontgenographie studies, confrontation on validity of each tests are on active debate among physicians.
In the mean time routine evaluation tests performed in the hospital not only increase medical cost but also relate to many complications caused by there procedures.
There are authors reviewed 315 charts those admitted severance hospital from april 1987 to July 1987.
In order to determie the effectiveness of serum electrolyte tests on diagnosis and treatment of the patients and to detect the symptoms and diseases most apt to show serum electrolyte imbalance.
1) There were 172 men(54.6), and 143(45.4) women with male to female ratio of 1.2:1.
2) It has wide range from 16 years old to 87 years old. and ages from 30-39 were 73 cases(22.2).
3) according to disease distributions there were gastrointestinal dis, 123(39.0), respiratory dis 76(24.1), cardiovascular 32(10.2), endocrinologic 23(7.3), Infectious 19(6.1) nephrologic 12(3.*), micellaneous 30(9.5), where gastrointestinal problems were most familiar.
4) 163 cases(51.7) revealed normal electrolyte but 152(48.3) showed electrolyte imbalance, where abnormalities in CO₂content were 102mEq/L934.4) Na 64mEq/L(20.3), K 26mEq/L(8.3)CO₂/24eEq/L(7.6).
5) 51(16.2) patients with electrolyte imbalance(16.2) needed medical correction however, 101(32.1) patients were left behind.
6) From the results authors conclude that the routine serum electrolyte test are useless and careful selection is necessary in order to promote cost effective medical performance.
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