出版社:Japan Society of Circulation Control in Medicine
摘要:To compare acetated Ringer's solutions with and without magnesium after elective percutaneous coronary intervention(e-PCI), forty e-PCI patients were randomly allocated to acetated Ringer's solutions with magnesium(Mg) group or without magnesium(C) group. The total volume was 2,000ml/subject in both groups. Administration rate was 100ml/hr. Before and after the administration, serum concentrations of Mg, Na, K, Ca, and Cl, neurohumoral factor(ANP and BNP), BUN, and creatinine were measured. Urine volume was also investigated. The Mg concentration was maintained in the Mg group, whereas that in the C group significantly decreased from 2.4±0.3mg/dl to 2.2±0.3mg/dl(p=0.001). ANP and BNP levels increased, but not significantly in the both groups. The Mg group showed greater urine volume than the C group(1455.0ml vs 1135.5ml, p=0.049). BUN, creatinine and blood pressure were not significantly different between the groups. Acetated Ringer's solution containing Mg may maintain serum Mg concentration and increase urine volume after e-PCI .