胆道疾病与高血压、冠心病的联系(附500例胆道疾患分析)

Relationship between biliary tract disease and coronary heart disease and hypertension analysis of 500 cases of biliaty tract disease

对５００例胆道疾病患者进行了心电图、血压分析，结果表明，胆道疾病患者有３８．８％心电图异常。主要表现为缺血性ＳＴ－Ｔ改变。胆道的急性疾病的心电图异常比慢性疾病者的心电图异常明显增多。胆道疾病和心电图异常并存者术后两周内心电图恢复正常者占１８．６％，胆道疾病合并高血压者术后降至正常者占６４．３％，分析结果显示，胆道疾病与心脏、血压之间有一定相关性。对于胆道疾病应加强心脏和血压监测。对于两者同时并存者不应视为手术禁忌症，而应视为手术适应症，以减少胆心综合征的发生或加重原有的冠心病或／和高血压。

cases of biliary tract patients were given EKG and blood pressure monitoring,the result shows 38.8% patients suffering from biliary tract disease demonstrate abnormal phenonmena.Their main feature is ischemic ST-T change.The abnormal phenomena showed by acute biliary tract patients showed a signficant increase compared with that of the chronic patients.18.6% of patients with both biliary tract disease and abnormal EKG became normal again within two weeks after operation.64.3% of patients with both biliary tract diease and hypertension became normal after operation.The result shows there exist a correlativity between biliary tract disease,heart and blood pressure.Monotoring of heart and blood pressure to biliary tract patients is extremely important.patients with both diseases should not be seen as contraindication of operation,but instead be seen as indication of operation,so as to lower the occurance of Gall Bladder Cardiac Syndrome or worsen the original coronary heart disease or/and hypertension.