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抢救维持血液透析患者高钾血症致心律失常18例分析
引用本文:林志鑫,傅君舟,李剑文,刘日光,梁鸣. 抢救维持血液透析患者高钾血症致心律失常18例分析[J]. 岭南急诊医学杂志, 2012, 17(1): 18-19,40
作者姓名:林志鑫  傅君舟  李剑文  刘日光  梁鸣
作者单位:广州医学院附属广州市第一人民医院肾内科,510120
摘    要:目的:研究应用10%葡萄糖酸钙等药物及血液透析抢救维持血液透析患者高钾血症所致心律失常的疗效.方法:回顾性分析我科2008年5月到2011年4月使用药物及血液透析抢救维持血液透析患者高钾血症所致心律失常18例的临床资料.结果:18例患者血钾正常,心律恢复为窦性心律,均好转出院.结论:使用药物及血液透析是抢救高血钾所致心律失常的最及时、有效的手段.

关 键 词:血液透析  高钾血症  心律失常

Analysis of Saving 18 Cases in Stable Hemodialysis with Arrhythmia Caused by Hyperkalemia
LIN Zhi-xin , FU Jun-zhou , LI Jian-wen , LIU Ri-guang , LIANG Ming. Analysis of Saving 18 Cases in Stable Hemodialysis with Arrhythmia Caused by Hyperkalemia[J]. Lingnan Journal of Emergency Medicine, 2012, 17(1): 18-19,40
Authors:LIN Zhi-xin    FU Jun-zhou    LI Jian-wen    LIU Ri-guang    LIANG Ming
Affiliation:Department of Nephrology, the First Affiliated Guangzhou Municipal People's Hospital, Guangzhou Medical College, Guangzhou , 510120
Abstract:Objective: To study the effect of using 10% calcium gluconate and other drugs as well as emergency hemodialysis to save cases in stable hemodialysis with arrhythmia caused by hyperkalemia. Methods: The clinical data of 18 cases in stable hemodialysis with arrhythmia due to hyperkalemia were analyzed retrospectively from May 2008 to Apt 2011 in our department. Results: All the 18 cases' serum potassium became normal,their rhythms recovered as sinus rhythms, felt better and discharged. Conclusion: The use of drugs and hemodialysis are the most timely and most effective methods to save cases in stable hemodialysis with arrhythmia caused by hyperkalemia.
Keywords:hemodialysis  hyperkalemia  arrhythmia
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