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高血钾可引起心律失常,心脏停搏。在诸多产科并发症中,并不乏促发高血钾的因素,且高血钾的临床表现,常囚原发疾病的掩盖而被忽略。我院自1981年9月至1987年1月遇到4例,现报告如下。临床资料例1.患者25岁,住院号92212,G_1P_0,37~+孕周因胸闷气急,临产于1982年7月23日转我院,孕31周在当地检查心脏有“杂音”。后血压升高达130～160/90～104mmHg,近半月水肿加重少尿,反复服用双氢克尿噻及氯化钾治疗无效。检查:P 96次/分,R28次/分,Bp150/100mmHg。唇绀,端坐位.心界扩大,心尖部可闻Ⅱ～Ⅲ级收缩期及舒张期杂音,右肺散在干湿罗音。肝剑突下2cm 可及,有压痛。投以青霉素(钾盐)及西地兰,患者病情继续恶化,神情渐趋淡
Hyperkalemia can cause arrhythmias, cardiac arrest. In many obstetric complications, there is no shortage of factors that promote hyperkalemia, and the clinical manifestations of hyperkalemia, often prisoners cover the primary disease and are ignored. Our hospital from September 1981 to January 1987 encountered 4 cases, are as follows. Clinical data example 1. Patient 25 years old, hospital number 92212, G_1P_0, 37 ~ + gestational week due to chest tightness and shortness of breath, abortion on July 23, 1982 transferred to our hospital, 31 weeks pregnant in the local check the heart there is “noise.” After blood pressure up to 130 ~ 160/90 ~ 104mmHg, nearly half of edema exacerbated oliguria, repeated use of hydrochlorothiazide and potassium chloride treatment ineffective. Check: P 96 beats / min, R28 beats / min, Bp150 / 100mmHg. Carina cyanosis, sitting position. Heart expand, apex can be heard Ⅱ ~ Ⅲ systolic and diastolic murmur, right lung scattered in the wet and dry rales. 2cm under the liver xiphoid and tenderness. Investment penicillin (potassium salt) and cedilanid, the patient’s condition deteriorated, the expression gradually fades