大量輸血會引起何種電解質問題？

Teaching topics from the New England Journal of Medicine - Vol. 358, No. 2, January 10, 2008

Q: Why is it important to measure electrolyte levels and monitor the electrocardiogram of a patient who is receiving massive transfusions?

1. Citrate in the red blood cell units may cause hypocalcemia.
2. Extracellular potassium levels may become too high (because of red-cell lysis) or too low (when transfused red blood cells become active) in patients receiving blood transfusions.

Such electrolyte abnormalities can cause abnormal electrical function of the heart.