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作者应用1%碳酸氢钾治疗56例心律失常。其中缺血性心脏病24例(急性心肌梗塞占18例),高血压病7例,动脉粥样硬化或心肌病后心脏硬化伴有阵发性或慢性心房颤动25例。治疗方法是每天静脉滴注1%碳酸氢钾200～250ml,滴速为10～60/min。47例静滴3～7次,5例静滴1次,4例静滴10～14次。根据心电图、血清钾和红细胞内钾浓度评价碳酸氢钾的疗效。监察发现碳酸氢钾与抗心律失常药和强心甙配伍有明显的抗心律失常作用。2例应用抗心律失常药和极化液治疗心律失常无效者,改用碳酸氢钾有效。作者认为碳酸氢钾能促使房颤时心室率减少,静滴3～4次后即能恢复窦性心律。急性心肌梗塞时,室上性和室性心律失常静滴碳酸氢钾疗效显著,本药
The authors applied 1% potassium bicarbonate to treat 56 cases of arrhythmia. Including ischemic heart disease in 24 cases (18 cases of acute myocardial infarction), hypertension in 7 cases, atherosclerosis or cardiomyopathies after hardening of the heart with paroxysmal or chronic atrial fibrillation in 25 cases. Treatment is daily intravenous infusion of 1% potassium bicarbonate 200 ~ 250ml, drip rate of 10 ~ 60 / min. 47 cases of intravenous infusion of 3 to 7 times, 5 cases of intravenous infusion of 1, 4 cases of intravenous infusion of 10 to 14 times. The efficacy of potassium bicarbonate was evaluated on the basis of electrocardiogram, serum potassium and erythrocyte potassium concentration. Monitoring found that potassium bicarbonate and antiarrhythmic drugs and cardiac glycosides compatibility obvious anti-arrhythmic effect. 2 cases of anti-arrhythmic drugs and the use of polarization solution for the treatment of arrhythmia invalid, switch to potassium bicarbonate effective. The authors believe that potassium bicarbonate can promote ventricular rate decreased atrial fibrillation, intravenous infusion of 3 to 4 times that can restore sinus rhythm. Acute myocardial infarction, supraventricular and ventricular arrhythmia infusion of potassium bicarbonate significant effect, the drug