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镁与钾的相互关系:实验与临床

Magnesium and potassium interrelationships, experimental and clinical.

作者信息

Whang R, Oei T O, Aikawa J K, Ryan M P, Watanabe A, Chrysant S G, Fryer A

出版信息

Acta Med Scand Suppl. 1981;647:139-44. doi: 10.1111/j.0954-6820.1981.tb02649.x.

Abstract
  1. Coexisting Mg and K deficiency may occur with greater frequency than has been previously appreciated. 2) Profound hypokalemia, or refractoriness to K repletion or coexisting hypokalemia and hypocalcemia should suggest the possibility of concurrent Mg and K depletion. 3) The identification and treatment of concurrent K and Mg depletion is especially important in patients with congestive heart failure because of problem of digitalis toxicity. 4) We believe that the role of magnesium in optimizing cardiac function remains to be elucidated, identification and treatment of coexisting Mg and K depletion will be facilitated by making serum Mg a routine electrolyte determination together with Na, K, Cl, CO2.
摘要
  1. 镁和钾同时缺乏的情况可能比之前认为的更为常见。2) 严重低钾血症、对补钾无反应或同时存在低钾血症和低钙血症时,应考虑同时存在镁和钾缺乏的可能性。3) 对于充血性心力衰竭患者,识别和治疗同时存在的钾和镁缺乏尤为重要,因为存在洋地黄中毒问题。4) 我们认为镁在优化心脏功能中的作用仍有待阐明,将血清镁作为与钠、钾、氯、二氧化碳一起的常规电解质测定项目,将有助于识别和治疗同时存在的镁和钾缺乏。

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