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本文4例病人低血钾主要表现在U波增大、心律失常、P波高尖变化,该4例病人均为非心脏病患者。 4例病人均为外地来工作的青年男性民工,年龄24~27岁。发病突然,双下肢呈瘫痪状态,不能行走。心前区不适,表情淡漠。生化检查为低血钾(诊断标准依火焰光度计法),4例患者血钾最低的2.4mmoL/L,最高3.5mmoL/L,伴有心电图U波增大,P、T波改变和心律失常呈室早二联律,补钾后4~5小时复常。
The four cases of patients with hypokalemia in the main manifestations of U wave increases, arrhythmia, P wave tip changes, the 4 patients were non-heart disease patients. 4 cases of patients are foreign to work for young male migrant workers, aged 24 to 27 years. Sudden onset, both lower limb paralyzed state, can not walk. Precordial discomfort, expression indifference. Biochemical tests for hypokalemia (diagnostic criteria according to the flame photometer method), 4 patients with the lowest serum potassium 2.4mmoL / L, the highest 3.5mmoL / L, accompanied by increased U wave ECG, P, T wave changes and arrhythmia Premature couplet law in the room, potassium 4 to 5 hours after normalization.