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本文分析了100例慢性肾功能衰竭病人透析前后心电图变化,其中男62例,女38例,年龄18～70岁,平均47.9岁。原发病:慢性肾小球肾炎54例,多囊肾17例,糖尿病肾病15例,高血压肾病8例,慢性肾盂肾炎6例。透析前常规记录心电图,透析一个月后复查心电图。100例中心电图异常者63例,其中高血压病和糖尿病肾病心电图异常比例较高。在各种心电图异常中 ST-T 异常最常见,占78%,其中72%病人充分透析后 ST-T恢复;原发病为高血压病和糖尿病肾病及60岁以上者透析后心电图改善率较低,透析对左室肥厚的心电图表现无改善。
In this paper, 100 patients with chronic renal failure before and after dialysis electrocardiogram changes, including 62 males and 38 females, aged 18 to 70 years, mean 47.9 years. Primary disease: 54 cases of chronic glomerulonephritis, polycystic kidney disease in 17 cases, 15 cases of diabetic nephropathy, hypertensive nephropathy in 8 cases, 6 cases of chronic pyelonephritis. Before dialysis routine recording ECG, a month after dialysis review electrocardiogram. There were 63 cases of abnormal electrocardiogram (ECG) in 100 cases, of which there was a higher proportion of ECG abnormalities in hypertension and diabetic nephropathy. ST-T abnormalities were the most common abnormalities in various ECG abnormalities, accounting for 78%. ST-T recovery was found in 72% of patients after adequate dialysis. The primary disease was hypertension and diabetic nephropathy, and the improvement rate of electrocardiogram after dialysis was over 60 years Low, dialysis on left ventricular hypertrophy ECG showed no improvement.