维持性血液透析治疗后出现尖端扭转型室性心动过速：1例报告

doi:10.3877/cma.j.issn.2095-3216.2025.05.009

中华肾病研究电子杂志 ›› 2025, Vol. 14 ›› Issue (05) : 297 -299. doi: 10.3877/cma.j.issn.2095-3216.2025.05.009

病例报告

维持性血液透析治疗后出现尖端扭转型室性心动过速：1例报告

李艾桐, 李丹, 李可昕, 张萍^†(

)

102218　北京，清华大学北京清华长庚医院心血管中心

收稿日期:2025-01-10 出版日期:2025-10-28
通信作者: 张萍

Torsade de pointes ventricular tachycardia after maintenance hemodialysis treatment: a case report

Aitong Li, Dan Li, Kexin Li

Received:2025-01-10 Published:2025-10-28

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图1 2024年9月21日患者透析前心电图注：心电图示窦性心动过缓；左心室高电压；T波改变；QTc间期显著延长(616 ms)

图2 2024年9月21日患者透析中突发意识丧失后心电图注：心电图示出现心脏电风暴、成对室性早搏、尖端扭转型室性心动过速(箭头所示该心搏的QT间期测量值)

图3 2024年9月21日患者影像学检查注：胸片示右侧深静脉导管置入术后，管末端位于T8上缘、T9锥体水平(箭头所示血液透析导管)

图4 患者纠正电解质后心电图(血钾4.36 mmol/L)

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