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心脏手术后血清镁水平及尿镁排泄情况

Postoperative serum level and urinary excretion of magnesium following heart surgery.

作者信息

Vejlsted H, Eliasen P

出版信息

Scand J Thorac Cardiovasc Surg. 1978;12(2):91-4. doi: 10.3109/14017437809100355.

DOI:10.3109/14017437809100355
PMID:309653
Abstract

The level of serum magnesium was examined in relation to open-heart surgery. A significant fall below normal values was observed during the first postoperative day, probably caused by haemodilution during bypass. Serum concentrations were normal from the second postoperative day onwards. This result differs from observations at other centres. Two possible causes for this divergency are suggested: (1) a habitiually high dietary intake of magnesium from the drinking water and (2) a postoperative regime emphasizing the maintenance of a positive blood and plasma balance, thus supplying the patients with a considerable amount of magnesium. It is concluded that no indications for pre- , per- or postoperative supplementation of magnesium in association with cardiopulmonary bypass were found.

摘要

研究了血清镁水平与心脏直视手术的关系。术后第一天观察到血清镁水平显著低于正常值,这可能是由于体外循环期间的血液稀释所致。术后第二天起血清浓度恢复正常。这一结果与其他中心的观察结果不同。文中提出了造成这种差异的两个可能原因:(1)习惯性地从饮用水中大量摄入镁;(2)术后护理方案强调维持正血容量和血浆平衡,从而为患者补充了大量镁。结论是,未发现与体外循环相关的术前、术中或术后补充镁的指征。

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Postoperative serum level and urinary excretion of magnesium following heart surgery.心脏手术后血清镁水平及尿镁排泄情况
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引用本文的文献

1
The role of signal averaged P wave duration and serum magnesium as a combined predictor of atrial fibrillation after elective coronary artery bypass surgery.信号平均P波时限和血清镁作为择期冠状动脉搭桥术后房颤联合预测指标的作用。
Heart. 1997 Jun;77(6):527-31. doi: 10.1136/hrt.77.6.527.
2
Value of serum magnesium estimation in diagnosing myocardial infarction and predicting dysrhythmias after coronary artery bypass grafting.血清镁测定在诊断心肌梗死及预测冠状动脉搭桥术后心律失常中的价值。
Thorax. 1983 Dec;38(12):946-50. doi: 10.1136/thx.38.12.946.