论文部分内容阅读
女,36,患狼疮性肾炎,慢性肾功能衰竭,尿少,心率46次/分,血钾8毫当量/升。心电图出现Ⅲ度房室传导阻滞.由于基层医院无透析设备,即转送病人到上级医院,结果病人死于转院途中。讨论:本例应予紧急处理,包括:①立即静脉滴注10%葡萄糖酸钙10～30毫升(3饲4分钟注完),以增加细胞外液的钙离子浓度,使高血钾导致之细胞膜的兴奋性降低,恢复至正常状态(即逆转膜的异常),注射数分钟后,常能逆转心传导阻
Female, 36, suffering from lupus nephritis, chronic renal failure, oliguria, heart rate 46 beats / min, serum potassium 8 meq / l. Electrocardiogram appeared Ⅲ degree atrioventricular block .Because the primary hospital without dialysis equipment, that is, the patient was transferred to the higher hospital, the result of the patient died in the transfer of en route. Discussion: This case should be urgently addressed, including: ① Immediately intravenous infusion of 10% calcium gluconate 10 ~ 30 ml (3 feeding 4 minutes Note End), in order to increase the extracellular calcium ion concentration, so that hyperkalemia caused The excitability of the cell membrane is reduced and returned to its normal state (ie reversing the abnormality of the membrane). After a few minutes of injection, the cardiac conduction resistance can often be reversed