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在临床护理中,因静滴氯化钾的浓度高、速度快而发生心搏骤停事故,已引起医护人员的高度警惕,但对高血钙致心搏骤停之报导并不多见.现将所见静注葡萄糖酸钙致心搏骤停一例报告如下,以期引起重视。康××,男,1岁半,1980年10月16日因阵发性抽搐一天就诊,以“抽搐待查,低钙性抽搐?”收住院。查体:T37℃,P132次/分,神智清,方颅,前囱未闭合,多汗,颈软,咽稍红,鸡胸,无串珠,余无异常。化验:WBC17200/mm~3,N49%,L51%.补钙后第3天查血钙为4.2mEg/L.诊断:低钙抽搐.
In clinical nursing, because of the high concentration of intravenous infusion of potassium chloride, rapid cardiac arrest occurred and has caused great vigilance of medical staff, but reports of cardiac arrest caused by hypercalcemia are rare. Now see intravenous injection of calcium gluconate caused a cardiac arrest report as follows, with a view to attention. Kang × ×, male, 1 year and a half, October 16, 1980 due to paroxysmal convulsions one day treatment, “convulsions to be checked, low calcium convulsions?” Physical examination: T37 ℃, P132 beats / min, God clear, square skull, the former chimney is not closed, sweating, neck soft, slightly red throat, chicken breast, no beads, I no exception. Laboratory: WBC17200 / mm ~ 3, N49%, L51%. Calcium on the third day after calcium check 4.2mEg / L. Diagnosis: low calcium convulsions.