急性胰臟炎病人最容易出現哪種電解質不平衡？

急性胰臟炎導致脂肪壞死，脂肪酸會與鈣離子結合形成鈣皂（saponification），導致血液中鈣離子濃度下降，引起低血鈣。這通常伴隨 Chvostek 或 Trousseau 徵象，是臨床護理評估的重要指標，需密切監測抽搐或心律不整風險。

Clients with acute pancreatitis are at high risk for hypocalcemia due to saponification, where calcium binds with fatty acids released during fat necrosis. This electrolyte imbalance can lead to neuromuscular irritability, manifesting as tetany or cardiac dysrhythmias.

台美臨床均強調胰臟炎病人低血鈣的監測，但在美國，護理師更主動根據 protocol 執行相關護理計畫。