急性胰腺炎患者的ECG改变

Electrocardiogram changes in patients with acute pancreatitis

１９８０年７月至１９９３年７月．对２１４例ＡＰ进行了３０９次ＥＣＧ检查．其中男性９７例．女性１１７例，年龄１７～７７岁（平均４９．３岁）。结果正常６５例，异常１４９例。ＡＰ患者的ＥＣＧ异常改变发生率为６９．６％（１４９／２１４）．其中轻型为６４．７％（９９／１５３），重型为８２．０％（５０／６１）。ＡＰ患者的ＥＣＧ改变主要由“胰一心综合征”所致，表现为多种类型。结果表明：ＥＣＧ改变在ＡＰ的诊断、鉴别诊断、分类、预后估计及指导治疗等方面起一定作用。

From July 1980 to July 1993,214 patients (309 times) with acute pancreatitis (AP) had a elecrocardiogram (ECG) examination, Among of them, 97 were male and 117 female. Their ages range 17 to 77 (average 49. 3 ) The results showed that 65 cases were normal and 149 abnormal. The rate of aberrant ECG changes was 69. 6 % (149/214 ), of them with aberrant ECG, mild AP was 64. 7% (99/ 153) and severe AP 82% (50/61 ). The cause of ECG changes in patients with AP resued mainly from so colled the Pancreatocardiac syndrome, These changes presented many types.This data suggested that ECG changes play a part role in the diagnosis, different diagnosis, classification, evaluation of the prognosis, and the guiding therapy for AP.