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急性心肌梗死早期血钾变化与心律失常的关系

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摘要 目的观察急性心肌梗死(AMI)早期低血钾的发生对心律失常、心力衰竭和死亡率的影响。方法170例AMI患者分为低血组钾组和正常血钾组,胸痛发作2~24h采静脉血,应用自动生化仪查电解质。结果低血钾组室速室颤发生率(24.29%)高于正常血钾组(12.00%)(P<0.05);血钾越低,室速室颤发生率越高;多壁心肌梗死低血钾发生率(47.46%)高于单壁心肌梗死(29.55%)(P<0.05)。结论在AMI早期低血钾是室性心律失常发生的独立危险因素。
作者 刘薇薇
出处 《海南医学》 CAS 2008年第3期65-65,39,共2页 Hainan Medical Journal
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