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近几年来,对镁代谢与低镁血症的研究,已逐渐得到临床重视。本文报告两例肺心病合并低镁血症并复习有关文献加以讨论。例1:女,69岁,患慢性咳喘20余年,因加重三天入院。确诊为慢性支气管炎合并感染、肺心病、心衰Ⅲ°、呼吸衰竭三级、呼吸性酸中毒并代谢性碱中毒。有关表现为精神兴奋不安,皮肤潮湿多汗,头部细震颤,双膝腱反射迟钝。血清钾3.5、钠148、氯85.6毫当量/升,二氧化碳结合率78.40毫升%。心电图示房性、结性过早搏动伴短阵房速。经青霉素、红霉素、氯霉素及氨苄青霉素抗炎;应用小剂量地塞米松和双氢克尿塞,并静滴生理盐水600毫升加氯化钾
In recent years, the study of magnesium metabolism and hypomagnesemia has gradually gained clinical attention. This article reports two cases of pulmonary heart disease with hypomagnesemia and review the literature to be discussed. Example 1: Female, 69 years old, suffering from chronic cough and asthma more than 20 years, due to aggravating three days admission. Diagnosis of chronic bronchitis complicated with infection, pulmonary heart disease, heart failure Ⅲ °, respiratory failure three, respiratory acidosis and metabolic alkalosis. Concerned about the performance of the spirit of uneasy, wet and sweaty skin, the head fine tremor, double tendon reflex dull. Serum potassium 3.5, sodium 148, chlorine 85.6 meq / l, carbon dioxide binding rate of 78.40 ml%. ECG shows sexual intercourse, premature beats with short burst atrial tachycardia. The penicillin, erythromycin, chloramphenicol and ampicillin anti-inflammatory; application of small doses of dexamethasone and hydrochlorothiazide, and intravenous infusion of 600 ml of normal saline plus potassium chloride