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本文对98例慢性肺心病急性发作期患者血镁与心律失常的关系作了观察,其中低镁血症31例,其心律失常的发病率为93.54%(29/31)血镁浓度大于0.75mmol/L 者67例,其心律失常的发病率为70.15%。13例低患血症合并心律失常者接受硫酸镁治疗,12例心律失常在治疗当天或三日内控制,无效者1例,系肺心病合并冠心病。结果提示低镁血症易致心律失常及洋地黄中毒,镁剂对心律紊乱有显著疗效,本文还就其作用机制进行了讨论。
In this paper, 98 cases of chronic pulmonary heart disease in patients with acute exacerbation of blood magnesium and arrhythmia were observed in which 31 cases of hypomagnesemia, the incidence of arrhythmia was 93.54% (29/31) serum magnesium concentration was greater than 0.75mmol / L in 67 cases, the incidence of arrhythmia was 70.15%. Thirteen patients with hypomagnesemia and arrhythmia were treated with magnesium sulfate, 12 patients with arrhythmia were controlled on the day of treatment or three days, and one patient was ineffective. The patients with pulmonary heart disease were complicated with coronary heart disease. The results suggest that hypomagnesemia is easy to cause arrhythmia and digitalis poisoning, and magnesium has a significant effect on heart rhythm disorders. The mechanism of action is also discussed in this paper.