恶性肿瘤转移性心包积液的心电图特征

ELECTROCARDI0GRAPHY CHARACTER 0F MALIGNANT PERICARDIAL EFFUSI0NS

本文报道３８例恶性肿瘤转移性心包积液．２８例发生在心包积液前已明确原发恶性肿瘤诊断，１０例心包积液为首次诊断．经多次随访心电图，其特征为：窦性心律、低电压或低电压倾向、心率略快、ＳＴ－Ｔ大致正常．作者认为血性心包积液，尽管肿瘤脱落细胞未经证实，但心电图变化，在限定的条件下，对转移性心包积液具有导向诊断价值．

Thirty eight cases of malignant metastatic pericardial effusion were reported in thispaper.Of them 28 had been diagnosed as primary malignant tumor,10 were first diagnosed.Thefeatures of the follow-up ECG are sinus rhythm:heart rate speeds;normal ST-T.The authorscame to the conclusion that the change of ECG had guide value in diagnosis of metastatic pericar-dial effusion in limited circumstances before the tumor cell of hemogenic pericardial effusion wasconfirmed.