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亚急型克山病心电图传导异常及预后意义
引用本文:宋鸿彬,梁文升,刘作功,侯敏全,杨虞勋,张春明. 亚急型克山病心电图传导异常及预后意义[J]. 西安交通大学学报(医学版), 1994, 0(4)
作者姓名:宋鸿彬  梁文升  刘作功  侯敏全  杨虞勋  张春明
作者单位:西安医科大学克山病研究室!西安710061
摘    要:
对64例亚急型克山病(SKSD)心电图传导异常的动态变化和预后意义进行观察,结果:①Ⅱ°~Ⅲ°房室阻滞(AVB)9例中有5例(55.6%)、束枝阻滞(BBB)55例中有36例(65.6%)治疗后消失,平均消失时间分别为2.2±1.8天和12.2±13.2天,②就诊时有Ⅱ°~Ⅲ°AVB、有传导异常伴病理性Q波或严重快速心律失常病例,5年病死率高(P<0.05);动态观察期间RBBB呈永久性,及与其伴发的ST—T改变和/或低电压持续存在病例,5年病死率高(P<0.01)。

关 键 词:克山病  心电图  传导阻滞  预后

CONDUCTIVE ABNORMANITY ON ECG AND ITS PROGNOSTIC OF SUBACUTE KESHAN DISEASE
Song Hongbin. Liang Wensheng,Liu Zuogong,et al. CONDUCTIVE ABNORMANITY ON ECG AND ITS PROGNOSTIC OF SUBACUTE KESHAN DISEASE[J]. Journal of Xi‘an Jiaotong University:Medical Sciences, 1994, 0(4)
Authors:Song Hongbin. Liang Wensheng  Liu Zuogong  et al
Affiliation:Research Laboratory of Keshan Disease
Abstract:
This paper observed the dynamic changes of conductive abnormanities on electrocardiogram and its prognostic value for 64 patients with subacute keshan disease (SKSD). The results showed that disappearances of the ECG abnormalities were found for 5 cases (55.6%) in 9 patients with Ⅱ°~Ⅲ° AVB and 36 cases (65. 5%) in 55 patients with BBB after the average periods of 2. 2±1. 8 and 12. 2±13. 2 days, respectively, the mortalities were significantly higher 5 years post falling ill in cases having Ⅱ°~Ⅲ °AVB and conductive abnor-manities with pathologic Q wave or severe tach-yarrhythmia (P < 0. 05) , and during the dynamic observation in cases having persistent RBBB,RBBB with ST-T abnormanities and/or low voltage (P < 0. 01) as compared to others.
Keywords:keshan disease  electrocardiogram  prognosis
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