慢性胆囊炎伴窦性心动过缓及心肌缺血手术前后心电图改变93例的临床分析

Postoperative ECG followup in patients of chronic cholecystitis with sinus bradyarrhythmia and myocardial ischemia

目的探讨慢性胆囊炎伴有窦性心动过缓及心肌缺血发生比率及其术后的心电图改变。方法手术前后常规行心电图检查，对心电图异常者定期随访。对经手术及病理证实的２５０例慢性胆囊炎病人手术前后心电图所示的窦性心动过缓与心肌缺血性改变进行临床分析。结果窦性心动过缓５３例、心肌缺血４６例。随访资料完全者９３例，其中恢复正常８５例，好转３例，无改变５例。治愈好转率达９５％。结论慢性胆囊炎对心脏确有一定影响，对慢性胆囊炎，特别是已有心电图异常改变时，应积极手术治疗。

Objective To study the incidence of sinus bradyarrhythmia and myocardial ischemia in patients with chronic cholecystitis,and the postoperative change of ECG. MethodWT5BZThe ECG of 250 cases with chronic cholecystitis was analyzed pre and postoperatively.Those patients with sinus bradyarrhythmia and myocardial ischemia were followedup Result There were 99 cases with abnormal ECG,including 53 cases with sinus bradyarrhythmia and 46 cases with myocardial ischemia.Postoperative followup data were collected in 93 cases,among them 85 patients regained a normal ECG,ECG was improved in 3 cases.The total effective rate was 95%. Conclusion Chronic cholecystitis have an adverse effect on ECG.Postoperative improvement or normalization of ECG could be expected in most patients of chronic cholecystitis with preoperative sinus bradyarrhythmia or myocardial ischemia.