论文部分内容阅读
本文对临床上确诊的系统性红斑狼疮(SLE)住院患者206例(男54,女152;年龄12～72岁)的心电图进行分析,其中正常心电图者54例(26.2%),异常心电图者152例(73.8%)。异常心电图中以窦性心动过速(44.1%)及心肌损害(34.9%)居多,其次为低电压(9.2%),异位心律(6.8%),左室肥大(6.8%)及传导阻滞(5.8%)。有异常心电图的患者的住院病死率(33.6%)比心电图正常者(10.6%)显著增高(P<0.01),但部分心电图异常的患者经治疗后,随着病情好转心电图也恢复正常,提示心脏病理变化可能系可逆性的,故主张对SLE患者应作多次心电图检查和随访,以利对病情的判断和疗效的估价。
In this paper, electrocardiogram was analyzed in 206 clinically diagnosed SLE patients (54 males, 152 females and 12 to 72 years of age), of whom 54 (26.2%) had normal electrocardiogram and 152 Example (73.8%). Among the abnormal ECGs, sinus tachycardia (44.1%) and myocardial damage (34.9%) were mostly followed by low voltage (9.2%), ectopic heart rate (6.8%), left ventricular hypertrophy (6.8%) and conduction block (5.8%). In-patients with abnormal electrocardiogram had a significantly higher in-hospital mortality (33.6%) than those with normal electrocardiogram (10.6%) (P <0.01). However, some patients with abnormal electrocardiogram returned to normal as their condition improved, suggesting that the heart Pathological changes may be reversible, it is advocated for SLE patients should make multiple ECG and follow-up, in order to facilitate the judgment of the disease and the evaluation of the efficacy.