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钾与心脏的关系早为临床所重视。低钾与心律失常仍有许多问题值得进一步研究。本文观察了低血钾所致的心律失常64例,探讨引起心律失常的某些其它因素。临床资料本文收集我院1982～1985年5月内科住院患者由低血钾(下称低钾)引起心律失常、材料较为完整的64例。病例均符合以下要求;1.血清钾均在1.1～3.2mEq/L范围内,在测定血钾的同一天内记录心电图。2.病例除1例原有房颤外,余均无心律失常病史。补钾后(除死亡病例)心律失常消除。3.心律失常同时伴有低钾的心电图改变(有2例室上速例外)。 64例基础疾病是:消化系疾病16例(胃肠炎12例,肝胆疾病4例),肾脏疾病22例(肾炎尿毒
The relationship between potassium and heart has long been clinically important. There are still many problems with hypokalemia and arrhythmia worth further study. In this paper, we observed 64 cases of arrhythmia caused by hypokalemia and explored some other factors that cause arrhythmia. Clinical data This article collected in our hospital from 1982 to 1985 May hospitalized patients with hypokalemia (hypokalemia) caused by arrhythmia, the material is more complete in 64 cases. All cases met the following requirements: 1. Serum potassium were 1.1 ~ 3.2mEq / L range, the same day in the determination of serum potassium record ECG. 2. In addition to the original cases of atrial fibrillation in 1 case, I have no history of arrhythmia. After potassium (except deaths) arrhythmia eliminated. 3. Arrhythmias accompanied by hypokalemia ECG changes (2 cases of supraventricular tachycardia exception). 64 cases of underlying diseases were: digestive diseases in 16 cases (12 cases of gastroenteritis, hepatobiliary disease in 4 cases), 22 cases of kidney disease (nephritis uremia