高钾血症引起左后分支传导阻滞的心电图改变,文献未见报道。我院最近收治1例急性肾功能衰竭造成高钾血症,出现短暂性左后分支传导阻滞的心电图改变,特报道如下。病例报告患者黄××,女性,16岁,学生,住院号80—1649,缘于入院前10天,无明显诱因发生颜面浮肿,尿少,经中西医治疗,症状时好时发。入院前2小时,无尿,后神志恍惚,烦躁不安,随之抽搐,人事不清而急诊入院。体检:体温36.8℃,脉搏88次/分,呼吸32次/分,血压160/80mmHg,全身浮肿,呈昏迷状态,颜面苍白,四肢寒冷,皮肤无出血点。两侧瞳 Hyperkalemia caused left posterior branch block ECG changes, the literature has not been reported. Our hospital recently admitted to a case of acute renal failure caused by hyperkalemia, transient left posterior branch block ECG changes, especially reported as follows. Case report Patient Huang × ×, female, 16 years old, student, hospital number 80-1649, due to 10 days before admission, there was no obvious incentive to face facial edema, oliguria, the Chinese and Western medicine treatment, the time is good. 2 hours before admission, no urine, post-trance, irritability, then convulsions, unclear and emergency personnel admitted. Physical examination: body temperature 36.8 ℃, pulse 88 beats / min, breathing 32 beats / min, blood pressure 160 / 80mmHg, body edema, was unconscious, pale face, limbs cold, no bleeding skin. Pupil on both sides