一例尿毒症高血钾引起反复室颤的病人,经食道低能量非同步直流电除颤获得成功。现报告如下。患者女,36岁。双下肢及颜面浮肿10天,恶心、呕吐,无尿3天入院。体检:神清,肺部无罗音,心率72次/分,双下肢及颜面浮肿。化验:血色素45g/L,尿素氮58.7mmol/L,肌酐1768μmol/L,二氧化碳结合力10.5mmol/L,血钾为5.8mmol/L。诊断为急性肾功能衰竭、尿毒症、高钾血症。入院后一直少尿,入院第五天患者突然出现全身抽搐,神志不清,心电图描记为 A case of uremia hyperkalemia caused by repeated ventricular fibrillation in patients with transoral esophageal low-energy asynchronous DC defibrillation was successful. The report is as follows. Female patient, 36 years old. Lower extremities and facial swelling 10 days, nausea, vomiting, anuria 3 days admission. Physical examination: Shen Qing, lung no Luo sound, heart rate 72 beats / min, both lower extremities and face edema. Assay: hemoglobin 45g / L, urea nitrogen 58.7mmol / L, creatinine 1768μmol / L, carbon dioxide binding 10.5mmol / L, serum potassium was 5.8mmol / L. Diagnosis of acute renal failure, uremia, hyperkalemia. After admission has been oliguria, admitted to hospital the fifth day of sudden systemic convulsions, confusion, electrocardiogram as