心肌梗死早期低钾血症与恶性心律失常的相关性分析  

Correlation Analysis of Early Stage Myocardial Infarction Hypokalemia and Malignant Arrhythmia

作　　者：何崇辉[1] 张有猛[1] 邵斌[1] 陈亚想[1] 曹玲[1] 林小聪[1] 肖应林[1] 

机构地区：[1]广东医学院附属观澜医院内科,深圳518110

出　　处：《中国医药导刊》2013年第7期1117-1117,1120,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:分析心肌梗死早期低钾血症与恶性心律失常的相关性。方法:回顾性分析我院接受治疗的心肌梗死患者86例的临床资料。根据血钾水平分为两组。A组血钾<3.5mmol/L,B组血钾≥3.5mmol/L。比较两组患者治疗期间恶性心律失常发生率的差异,并观察两组患者预后情况。结果:与A组相比较,B组恶性心律失常发生率、死亡率明显较低,有显著的统计学差异(P<0.05)。结论:心肌梗死早期低钾血症易诱发恶性心律失常。及时补钾对改善患者预后具有积极的促进作用。Objective： Analyse correlation of early stage myocardial infarction hypokalemia and malignant arrhythmia.Methods： A retrospective analysis of our hospital for treatment of myocardial infarction in 86 patients with clinical data.Group them according to the serum potassium levels.Group A blood potassium ＆lt; 3.5mmol/L,Group B blood potassium ≥ 3.5mmol/L.Compare two groups during treatment of malignant arrhythmia rate differences,and patients prognosis.Results： Compared with group A,group B of malignant arrhythmia rate and death rate was significantly lower,with significant statistical difference（P＆lt;0.05）.Conclusion： Early stage myocardial infarction hypokalemia easily induced malignant arrhythmia.Prompt potassium supplement on improving the prognosis of the patients with a positive role.

关 键 词：心肌梗死 低钾血症 恶性心律失常 相关性 

分 类 号：R541.7[医药卫生—心血管疾病]