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低血钾可引起扭转型室性心动过速(简称扭转室速),本文就所遇1例报告如下。王×,女性,62岁,因急性机械性肠梗阻于1981年9月19日11时入院。检查:体温36.5℃,血压120/80毫米汞柱,轻度脱水征。左心室轻度扩大,心音低钝,心律不齐,84次/分,期前收缩1—3次/分。肺(-)。腹部膨隆,弥漫压痛,肠鸣音高亢,可闻气过水声。血钾3.3毫当量/升。余(-)。入院后当晚19时行剖腹探查术,术中一度处于休克状态。术后六天持续低血压(90—70/70—50毫米汞柱),饮食少进。心电图呈窦
Hypokalemia can cause torsade type ventricular tachycardia (referred to as reverse ventricular tachycardia), this article on the experience of a case reported as follows. Wang ×, female, aged 62, was admitted to hospital at 11 o’clock on September 19, 1981 due to acute mechanical bowel obstruction. Check: body temperature 36.5 ℃, blood pressure 120/80 mm Hg, mild dehydration sign. Left ventricular mild enlargement, low heart sound blunted, arrhythmia, 84 beats / min, pre-contraction 1-3 beats / min. lung(-). Abdominal bulging, diffuse tenderness, bowel sounds high, can smell the sound of water. Potassium 3.3 meq / liter. I (-). 19:00 night after admission, laparotomy exploration, intraoperative shock was in the state. Postoperative six days of sustained hypotension (90-70 / 70-50 mm Hg), less intake of food. Electrocardiogram was sinus