【摘要】 目的探讨低钾血症与房室传导阻滞的关系。方法对93例病程不超过48h的低钾血症患者进行回顾性分析,对其中11例房室传导阻滞病例与随机选取的11例心电图正常的低钾血症病例,对心肌酶包括谷草转氨酶(glutamic oxaloacetic transaminase,AST)、乳酸脱氢酶(lactic dehydrogenase,LDH)和肌酸激酶(creatine kinase,CK)及血清钾水平进行对比分析。结果血清钾水平2组无明显差异(P>0.05);合并房室传导阻滞组与对照组AST、CK无明显统计学差异(P>0.05),心电图正常组LDH高于合并房室传导阻滞组(P<0.05)。结论急性低钾血症时,血钾降低水平、心肌酶改变与是否引起房室传导阻滞与无明显关系。更多还原

【Abstract】 Objective To investigate the relationship of hypokalemia and atrioventricular block.Methods 93 hypokalemia cases that the duration of disease not exceeding 48 hours were reviewed,contrast 11 atrioventricular block cases with 11 random sampling hypokalemia cases of normal electrocardiogram,and the cardiac muscle enzyme(included glutamic oxaloacetic transaminase AST,lactic dehydrogenase LDH,creatine kinase CK)with the blood serum potassium level were compared and analyzed.Results Two groups of blood serum potassium level had not obvious difference(P>0.05).Between the group merging atrioventricular block and control group,AST and CK had not obvious statistic difference(P>0.05).The LDH of normal electrocardiogram group was higher than the merging atrioventricular block group(P<0.05).Conclusion While occuring aucte hypokalemia disease,there is not obvious relation with the reducing blood serum potassium level and cardiac enzymes that causing atrioventricular block.更多还原