CAJ | 학술논문

目的探讨心电图检测对诊断高钾血症的临床价值.方法回顾性分析我院2009年3月至2011年5月高血钾患者25例的心电图资料,并对心电图与血清钾浓度进行对比分析.结果血清钾5.5-6.9mmol/L时主要表现为T波振幅增高,基底部变窄,波顶变尖,呈帐篷状,与实验室诊断符合率为34.2%；血清钾>7.0mmol/L时,P波振幅降低或消失、P-R间期延长、QRS时限增宽、R波振幅减低、S波加深、S T段压低、Q T间期延长、室内束支或分支传导阻滞,甚至出现窦性心动过速和度房室传导阻滞等,与实验室诊断符合率为86.7%.结论心电图表现与血清钾测定有较好的一致性,它是一种简单、快速诊断高血钾的有效方法,为临床及时诊断及治疗提供重要的依据.
목적탐토심전도검측대진단고갑혈증적림상개치.방법회고성분석아원2009년3월지2011년5월고혈갑환자25례적심전도자료,병대심전도여혈청갑농도진행대비분석.결과혈청갑5.5-6.9mmol/L시주요표현위T파진폭증고,기저부변착,파정변첨,정장봉상,여실험실진단부합솔위34.2%；혈청갑>7.0mmol/L시,P파진폭강저혹소실、P-R간기연장、QRS시한증관、R파진폭감저、S파가심、S T단압저、Q T간기연장、실내속지혹분지전도조체,심지출현두성심동과속화도방실전도조체등,여실험실진단부합솔위86.7%.결론심전도표현여혈청갑측정유교호적일치성,타시일충간단、쾌속진단고혈갑적유효방법,위림상급시진단급치료제공중요적의거.
Objective To investigate the ECG diagnosis of hyperkalemia clinical value. Methods A retrospective analysis of ECG data of 25 cases of hyperkalemia patients in our hospital from March 2009 to May 2011, and electrocardiogram and serum potassium concentration were analyzed. Results mainly serum potassium 5.5-6.9mmol / L for the T-wave amplitude increased, the narrow base of the wave top is tapered, was the tent-like rate of 34.2%, in line with the laboratory diagnosis; Serum potassium> 7.0mmol / L, P wave amplitude decreased or disappeared, PR interval prolongation, QRS duration widened, R wave amplitude to reduce the S wave and deep ST segment depression, QT prolongation, the interior bundle branch or fascicular block, even sinus tachycardia and atrioventricular block with laboratory diagnosis was 86.7%. Conclusion ECG performance and serum potassium determination better consistency, it is a simple, fast diagnosis hyperkalemia effective method, provide an important basis for the clinical timely diagnosis and treatment.