Monitoring during cardiopulmonary bypass in the clinical significance of serum magnesium concentration.doc

 PAGE \* MERGEFORMAT 9 Monitoring during cardiopulmonary bypass in the clinical significance of serum magnesium concentration Study: Lebanon will million, Tan Man is good, Wei had full, Huang, Lu Bintang [Abstract] Objective To study the cardiopulmonary bypass (extracorporeal circulation, ECC electrolyte imbalance in the timely correction factors and the significance of serum magnesium concentration, for a smooth recovery after cardiac surgery to create a good condition. Rewarming ECC methods, the open aorta before 5 ~ 10min break after taking blood samples to monitor changes in electrolytes, time to adjust. ECC results of 413 cases of open heart surgery, 19 patients had hypomagnesemia (lt;0.75mmol / L and 11 patients with hypermagnesemia (gt; 1.25mmol / L, the timely and effective adjustments to make the heart open to all after the aortic smooth recovery. Conclusion timely adjustment of blood magnesium concentration, to correct electrolyte (potassium, sodium, calcium, magnesium disorder of the heart to create a good recovery within a stable environment is ECC is one important condition for surgery. [Keywords:] Heart bypass surgery magnesium Cardiopulmonary bypass (extracorporeal circulation, ECC open heart surgery, to the internal environment, causing great changes in hemodynamics. Because of hemodilution, temperature, blood interface and the form of changes in tissue perfusion, is bound to make a series of electrolyte changes in patients in vivo. particularly sodium, potassium pumps, cell membrane, capillary endothelial cells, stress and electrolyte imbalance can cause heart problems, and postoperative recovery of unstable vital signs. Among them, potassium change cardiac electrophysiology of the more common, so the monitoring of ECC potassium ion concentration has become routine. But magnesium ions are hundreds of enzyme systems cofactor, magnesium as the substrate to form (as required MgATP, is an enzyme allosteric activator, can maintain the st