Ranasinghe D N, Mallett S V
Department of Anaesthesia, Royal Free Hospital, Hampstead, London.
Anaesthesia. 1994 May;49(5):403-5. doi: 10.1111/j.1365-2044.1994.tb03472.x.
Two patients who underwent orthotopic liver transplantation and developed peroperative cardiac arrhythmias are presented. In one, the arrhythmias were refractory to treatment with anti-arrhythmic drug therapy until serum magnesium levels were restored to normal. The other patient had a low pre-operative serum magnesium level and developed atrial fibrillation on induction of, and during, anaesthesia. Patients undergoing orthotopic liver transplantation may be a group especially predisposed to hypomagnesaemia. The importance of monitoring serum magnesium levels in such patients who develop peroperative cardiac arrhythmias is emphasised.
本文介绍了两名接受原位肝移植并在手术中出现心律失常的患者。其中一名患者，心律失常对抗心律失常药物治疗无效，直到血清镁水平恢复正常。另一名患者术前血清镁水平较低，在麻醉诱导期及麻醉期间发生房颤。接受原位肝移植的患者可能是特别容易发生低镁血症的群体。强调了对此类在手术中出现心律失常的患者监测血清镁水平的重要性。
