摘要
目的:探讨心肺复苏(CPR)后高钾血症的不同处理方式对心律的影响。方法:2018年1月到2021年5月在我院ICU中出现给予CPR后1小时出现的高钾血症患者60例随机分为2组,处理组30例和对照组30例,处理组给予降钾处理,观察组不予处理,两组均监测心肺复苏后1小时、3小时、12小时血钾、24小时内有否与基础心律不一致的新发心律失常以及再次心肺复苏例数(≥1次)、预后等指标。结果:处理组3小时血钾较观察组低,比较差异有统计学意义(P<0.05);各组的各1 h、3 h血钾分别较复苏前12小时内高,比较差异有统计学意义(P<0.05);各组复苏后3 h、12 h血钾较1 h低,比较差异有统计学意义(P<0.05);各组复苏后3 h血钾较12 h高,比较差异有统计学意义(P<0.05);处理组12小时内新发心律失常较观察组多,比较差异有统计学意义(P<0.05)。各组24小时内;处理组12小时内多次CPR例数较观察组多,比较差异有统计学意义(P<0.05)。结论:CPR高钾血症是继发改变,对稳定心脏节律有一定作用。
Objective:to investigate the effects of different treatment methods of hyperkalemia on heart rhythm after cardiopulmonary resuscitation(CPR).Methods:60 patients with hyperkalemia one hour after administration of CPR in ICU of our hospital from January 2018 to May 2021 were randomly divided into two groups:treatment group(n=30)and control group(n=30).The treatment group was treated with hypokalemic treatment,while the observation group was not treated.Both groups were monitored for serum potassium at 1 h,3 h and 12 h after cardiopulmonary resuscitation,whether there were new arrhythmias inconsistent with basal rhythm within 24 h,and the number of cases of re-cardiopulmonary resuscitation(≥1).Prognosis and other indicators:Results:The 3 h serum potassium of the treatment group was lower than that of the observation group,and the difference was statistically significant(P<0.05);the 1 hour and 3 h serum potassium of each group were higher than those within the 12 h before resuscitation,and the difference was statistically significant(P<0.05);3 h and 12 h serum potassium of each group was lower than 1 h after resuscitation,and the difference was statistically significant(P<0.05);3 h after resuscitation was higher than 12 h,the difference was statistically significant(P<0.05);the treatment group had more new arrhythmias within 12 h than the observation group,and the difference was statistically significant(P<0.05).Within 24 h of each group;the number of multiple CPR cases within 12 h of the treatment group was more than that of the observation group,and the difference was statistically significant(P<0.05).Conclusion:CPR hyperkalemia is a secondary change,which plays a certain role in stabilizing cardiac rhythm.
作者
刘超
邹鑫森
LIU Chao;ZOU Xin-sen(Intensive Care Unit,department of the three gorge hospital affiliated to chongqing university,404000;Intensive Care Unit,department of Bishan Hospital affiliated to Chongqing Medical University)
出处
《岭南急诊医学杂志》
2022年第3期212-214,233,共4页
Lingnan Journal of Emergency Medicine
关键词
心肺复苏
高钾血症
心律失常
预后
cardiopulmonary resuscitation
hyperkalaemia
arrhythmia
prognosis
