217例胆心综合征的临床表现和外科治疗

Manifestation and Surgical Treatment of 217 Cases Biliary-Cardiac Syndrome Patients

目的:探讨胆心综合征的临床表现、发病机理及治疗方法．方法:对２１７例胆心综合征病人进行回顾性分析．结果:该组胆心综合征患者表现为一过性心绞痛４６例(２１．２%),Ｓ－Ｔ段或Ｔ波改变者６７例(３０．９%),早搏２９例(１３．４%),窦性心动过速４３例(１９．８%),窦性心动过缓５２例(２４．０５),窦性心律不齐６２例(２８．６%),束支传导阻滞１６例(７．４%)．结论:患者经扩张冠状动脉、抗心律失常等药物治疗,疗效较差;手术治疗后或给予消炎利胆、解痉治疗,症状消失或明显缓解．

ve: To explore the clinical manifestations, pathogenic mechanisms and treatment of biliary-cardiac syndrome. Methods: 217 cases of patients with biliary-cardiac syndrome were analysed by retro-spective analysis. Results: The clinical findings of biliary-cardiac syndrome patients included transient angina pectoris in 46 patients(21.2%), S-T segment or T wave changes in 67 patients(30.9%), premature beats in 29 patients (13.4%), sinus tachycadia in 43 patients(19.8%), sinus bradycardia in 52 patients(24.0%), sinus arrhythmiain in 62 patients(28.6%), and bundle branch block in 16 patients(7.4%). Conclusions: The biliary-cardiac syndrome has no active curative effect when treated with dilation coronary artery or antiarrhythmic drugs; yet the symptoms could be controlled effectively by the treatment of antiinflammatory, cholagogue, antispasmodic or operation.