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本文报道2例临床上无肾脏疾病证据的心脏病患者,口服钾盐后引起高血钾性心脏停搏。第一例56岁,因主动脉瓣狭窄接受主动脉瓣替换术,术后按常规应用钾盐,第1天静脉注射100毫当量,第2天起改为口服,60毫当量每日三次,同时每日口服地高辛0.25毫克和氯噻嗪500毫克。术后第4天发生致命的心室颤动。心脏停搏前血清钾浓度为8.1毫当量/升。该例心脏停搏显然由高血钾
This article reports 2 cases of clinical evidence of kidney disease in patients with heart disease, potassium salt caused by hyperkalemic cardiac arrest. The first case of 56 years old, due to aortic valve stenosis aortic valve replacement surgery, the conventional application of potassium salt, the first day of intravenous injection of 100 milliequivalents, the next day changed to oral, 60 milliequivalents three times a day, At the same time daily oral administration of digoxin 0.25 mg and chlorothiazide 500 mg. Fatal ventricular fibrillation occurs on the fourth postoperative day. Serum potassium concentration before cardioplegia was 8.1 meq / l. This case of cardiac arrest is apparently caused by hyperkalemia