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例1:韩某,女.58岁,1982年3月24日以“脊髓压迫征、尿路感染”入院,4月1日局麻下行脊髓肿瘤切除术.术后曾因感染、高烧、纳差,较长时间的应用激素、庆大霉素等.5月19日上午病人突然心慌、胸闷气短,心电图示快速型房颤(心率115次),给西地兰0.2mg,安定10mg,利多卡因400mg 静滴,至次日上午11时症状未减,房颤亦未转复,考虑可能系低钾所致.查血钾为2.4mmol/L,钠118mmol/L,氯74mmol/L.在24小时内静滴氯化钾5g 后,临床症状明显好转,房颤转复,ECG 示窦速,S-T 段略下移,T、U 融合,
Example 1: Hanmou, female, aged 58, admitted to the hospital on “spinal cord compression syndrome and urinary tract infection” on March 24, 1982. He had spinal cord tumor resection on local anesthesia on April 1. After surgery, he had an infection, a high fever, Poor, prolonged use of hormones, gentamicin, etc. May 19 morning suddenly panic patients, chest tightness, shortness of breath, rapid atrial fibrillation ECG (115 heart rate), to cedilanid 0.2mg, stable 10mg, 400mg intravenous infusion of caffeine to 11 o’clock the next morning the symptoms were not reduced, atrial fibrillation has not been reversed, consider may be caused by hypokalemia.Check the potassium is 2.4mmol / L, sodium 118mmol / L, chlorine 74mmol / L. After intravenous infusion of 5g potassium chloride within 24 hours, clinical symptoms improved significantly, atrial fibrillation, ECG showed sinus speed, ST segment slightly down, T, U fusion,