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本文通过对48例急性 AMI 患者发病24h 内血清钾、镁测定,发现该组低血钾、低血镁发生率高。现对低钾血症、低镁血症和 AMI 并发室性心律失常的关系作一探讨。1 资料与方法1.1 临床资料选择发病24h 内符合 WHO 诊断标准,排除慢性肝肾疾病的 AMI 患者48例,其中男性36例,女性12例,年龄46～78岁,平均62.5岁。梗死部位:前壁26例,下壁8例,下壁+后壁7例,下壁+右室5例,前壁+下壁+右室2例。1.2 方法入院后即刻取静脉血测定血清钾、钠、氯、钙、二氧化碳结合力、血镁、血糖,均排除酸碱失
In this paper, 48 cases of acute AMI patients within 24 hours of onset of serum potassium and magnesium determination found that the group of hypokalemia, hypomagnesemia high incidence. The hypokalemia, hypomagnesemia and AMI complicated by ventricular arrhythmias were explored. 1 Materials and Methods 1.1 Clinical data Select the onset of 24h within the WHO diagnostic criteria, excluding chronic liver and kidney disease AMI 48 patients, including 36 males and 12 females, aged 46 to 78 years, mean 62.5 years. The infarction site: 26 cases of anterior wall, 8 cases of inferior wall, 7 cases of inferior wall + posterior wall, 5 cases of inferior wall + right ventricle, 2 cases of anterior wall + inferior wall + right ventricle. 1.2 Methods immediately after admission to take venous blood serum potassium, sodium, chlorine, calcium, carbon dioxide binding, blood magnesium, blood glucose, both acid and base loss