摘要
目的 了解慢型克山病病人在心电图上的有关项目改变 ,更好的为这类病人的防治管理提供有价值的信息。方法 应用心电图检查慢型克山病 ,然后测量分析心电图的有关项目。结果 在心电图上的有关项目常见改变是QRS波、V5VAT、Q -T间期时间延长以及对心率的影响 ,其次是对V1和V5的R波和S波的影响。诊断异常的心电图常见的是室性早搏和室性早搏合并左室大劳损以及束支传导阻滞。合并多种异常的占 5 4.3 % ,单项异常的占 45 .7%。被检病人两年中恢复正常的占 7.9% (7/ 76) ,死亡的占 7.9% (7/ 76)。结论 占 5 4.3 %较重的病人在心电图上表现为QRS波、V5VAT、Q -T间期时间延长和心率的快或慢合并室性早搏和束支传导阻滞 ,对这些病人加强管理可延长生命但很难恢复其心脏的健康状态。占 45 .7%较轻的病人只有单项改变 ,对这些病人加强管理不但可延长生命而且还可以有望恢复心脏的健康状态。
Objective Understand concerning item change on the Electrocardiogram(ECG) of patient with chronic Keshan disease,to provide valuable information of control and management for these patients.Method ECG of these patients was recorded,then measure and analyse electrocardiographic items.Result Common changes on the ECG were that QRS complex,and Q-T interval and ventricular activation time(VAT) on V 5 lead were prolongated,and change of heart rate and R and S wave on the V 1 and V 5 lead were present.Ventricular premature beat(VPB) and VPB accompanying left ventricular hypertrophy and bundle branch block(BBB) commonly present in the ECG.There was 54.3 percent varied abnormal and 45.7 percent individual abnormal in the ECG.The 7.9 percent(7/79) patients resumed normality and 7.9 percent (7/76) died in the two years.Conclusion Under the rigorous management for patients with chronic Keshan disease,the 54.3 percent serious patient with prorogated QRS complex and Q-T interval and VAT on the V 5 lead and fast or slow heart rate accompanying VPB and BBB,their lives can be prorogated,but their heart condition can't be resumed to normal;while the 45.7 percent slight patients with individual change ,their lives can not only be prorogated but also their heart condition be resumed to normal.
出处
《中国地方病防治》
北大核心
2005年第1期43-45,共3页
Chinese Journal of Control of Endemic Diseases
基金
山东省卫生厅资助项目 (2 0 0 1CA1DKA1 )
