补钾对急诊冠脉再通心律失常的预防

Prevention of Potassium Supplementation on Emergency Coronary Recanalization Arrhythmia

目的探讨急性心肌梗死急诊冠脉再通后因"血钾异常"导致心律失常的预防措施。方法选取我院100例急性心肌梗死患者为研究对象,通过对急诊冠脉再通(溶栓和急诊冠状动脉介入治疗术)前患者进行积极补钾、补液处理并观察患者在冠脉再通后心律失常发生情况的分析,从而探索补钾预防冠脉再通心律失常的重要作用。结果再通前积极补钾补液在再通后发生心律失常的几率明显减少。结论急诊冠脉再通前补钾补液有良好的心律失常的预防作用,对临床有重要的实际意义。

Objective To explore the preventive measures for arrhythmia caused by abnormal blood potassium after acute myocardial infarction in emergency coronary artery recanalization. Methods 100 cases of acute myocardial infarction in our hospital were selected as the research object. Through emergency coronary artery recanalization （thrombolysis and emergency pereutaneous coronary intervention）, positive potassium supplement and fluid replacement therapy were performed before the patients were observed, and the occtirrence of arrhythmia after coronary artery recanalization was observed. To explore the important role of potassium supplement in preventing coronary recanalization arrhythmia. Results The rate of cardiac arrhythmia after reventilation was significantly reduced before repassage. Conclusion The preventive effect of potassium supplementation before emergency coronary recanalization has a good preventive effect on arrhythmia, which is of great practical significance in clinical practice.