CAJ | 학술논문

目的总结血清钾离子紊乱的常见心电图异常并探讨其临床意义.方法回顾分析临床证实血清钾离子紊乱且有心电图异常的78例患者临床资料.结果69例低血钾患者U波增高者56例,Q-T间期延长者54例,ST-T改变41例,T波改变46例,另有8例患者出现心律失常.9例高血钾患者中6例出现高尖、帐篷状T波改变,4例QRS波明显增宽,3例患者出现窦性心动过缓,1例发生窦-室传导.结论心电图可作为诊断血钾紊乱的重要辅助手段,帮助临床医师及时纠正血钾紊乱、避免血钾紊乱引起的各种严重心律失常.
목적총결혈청갑리자문란적상견심전도이상병탐토기림상의의.방법회고분석림상증실혈청갑리자문란차유심전도이상적78례환자림상자료.결과69례저혈갑환자U파증고자56례,Q-T간기연장자54례,ST-T개변41례,T파개변46례,령유8례환자출현심률실상.9례고혈갑환자중6례출현고첨、장봉상T파개변,4례QRS파명현증관,3례환자출현두성심동과완,1례발생두-실전도.결론심전도가작위진단혈갑문란적중요보조수단,방조림상의사급시규정혈갑문란、피면혈갑문란인기적각충엄중심률실상.
Objective To sum up the common electrocardiogram abnormalities for potassium disorder and explore its clinical significance. Methods Data of 78 patients with electrocardiogram abnormalities for potassium disorder confirmed by clinic were reviewed. Results In 69 patients with hypokalemia there were 56 cases with raise U wave in the electrocardiogram, 54 cases with extended Q-T interval, 41 cases with changed ST-T, and 46 cases with T wave changes, there were also 8 cases with arrhythmia. In the 9 cases with hyperkalemia, there were 6 cases with high, sharp and like tent T wave changes. 4 cases with broaden QRS wave, 3 cases with sinus bradycardia, 1 cases with Sinus-room conduction. Conclusion Electrocardiogram is an important measure in helping diagnosis of potassium disorder, supplying messages for clinician for correcting the potassium disorder, avoiding the happen of severe arrhythmia by potassium disorder.