高钾血症:临床关注的心电图问题  

A Clinical Concern in Electrocardiograms: Hyperkalemia

作　　者：陈娟[1] 刘仁光[1] 

机构地区：[1]辽宁医学院附属第一医院,辽宁锦州121001

出　　处：《辽宁医学院学报》2013年第6期62-66,共5页Journal of Liaoning Medical University (LNMU) Bimonthly

摘　　要：心电图是诊断高钾血症、判定程度和观察疗效的重要指标。本文结合我们临床心电图资料和文献复习,简述高钾血症临床心电图分析困惑的问题:高钾致窦室传导阻滞、引起酷似急性心肌梗死和Brugada样改变、可影响持久性房颤、心脏起搏和旁路传导等复杂心电图改变。Electrocardiogram was an important index in the diagnosis of hyperkalemia, its severity analysis and the therapeutic effect. This article briefly stated the confusing issues in the ana]ysis of clinical electrocardiogram of hyperkale- mia with the combination of literature review and our clinical data： hyperka｜emia led to sophisticated electrocardiographic changes, such as sinoventricular conduction block, mimicking acute myocardium infarction, Brugada - type patterns, con- version of persistent atrial fibrillation, cardiac pacing and accessory, pathway conduction.

关 键 词：高钾血症 心电图 窦室传导阻滞 心肌梗死 心房纤颤 心脏起搏 预激综合征 

分 类 号：R540.41[医药卫生—心血管疾病]