摘要
目的探讨急性心肌梗死(AMI)患者低钾血症的临床意义。方法测定178例AMI病人的血钾浓度,做心电图及心电监护,并进行对比分析。结果低钾血症的发生率为22.5%,其中下壁+后壁AMI的发生率最低(12.5%),明显低于下壁+右心室、前壁和广泛前壁心肌梗死;发病6h内的低钾血症的发生率(27.9%)明显高于6h后(17.4%);低钾血症组严重不良事件发生率(42.5%)明显高于正常血钾组(7.2%)。结论低钾血症与AMI患者的梗死部位、时间及严重不良事件的发生密切相关。
Objective To investigate the Clinical significance of hypokalemia in patients with acute myocardial infarction（AMI）. Methods To examine Levels of serum potassium on admission in 178 individuals with acute myocardial infarction（AMI）. Electrocardiogram and Electrocardio - guardianship were recorded. To compare and analyze the diffirenccs of the two groups. Results Total incidence of hypokalemia was 22.5% , and incidence of hypokalemia in inferior wall and posterior wall （ 12.5% ） AMI was lower than that in inferior ＋ right ventricle and anterior ＋ widespread anterior wall AMI. The rate of hypokalemia during the time from onset to taking blood ≤6 hours（ 27.9% ） was higher than that during the time is high 6 hours（ 17.4% ）. Total incidence of major adverse cardiac events in hypokalemia group （42.5%） was higher than that in normal potassium group （7.2%）. Conclusion Hypokalemia is closely associated with location of myocardial infarction, time and major adverse cardiac events in patients with acute myocardial infarction（AMI）.
出处
《临床和实验医学杂志》
2008年第6期20-21,共2页
Journal of Clinical and Experimental Medicine
