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Severe electrolyte disorders following cardiac surgery a prospective controlled observational study 英文参考文献.doc

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Severe electrolyte disorders following cardiac surgery a prospective controlled observational study 英文参考文献

Available online /content/8/6/R459 Research Open Access December 2004 Vol 8 No 6 Severe electrolyte disorders following cardiac surgery: a prospective controlled observational study Kees H Polderman1 and Armand RJ Girbes2 1Senior Consultant in Intensive Care Medicine, Department of Intensive Care, VU University Medical Center, Amsterdam, The Netherlands 2Professor of Intensive Care Medicine, Department of Intensive Care, VU University Medical Center, Amsterdam, The Netherlands Corresponding author: Kees H Polderman, k.polderman@tip.nl Received: 26 August 2004 Critical Care 2004, 8:R459-R466 (DOI 10.1186/cc2973) This article is online at: /content/8/6/R459 Revisions requested: 1 September 2004 Revisions received: 7 September 2004 Accepted: 16 September 2004 Published: 22 October 2004 ? 2004 Polderman et al., licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is cited. Abstract Introduction Electrolyte disorders are an important cause of ventricular and supraventricular arrhythmias as well as various other complications in the intensive care unit. Patients undergoing cardiac surgery are at risk for development of tachyarrhythmias, especially in the period during and immediately after surgical intervention. Preventing electrolyte disorders is thus an important goal of therapy in such patients. However, although levels of potassium are usually measured regularly in these patients, other electrolytes such as magnesium, phosphate and calcium are measured far less frequently. We hypothesized that patients undergoing cardiac surgical procedures might be at risk for electrolyte depletion, and we therefore conducted the present study to assess electrolyte levels in such patients. Methods Levels of magnesium, phosphate, potassium,