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目的探讨肺癌肺切除术后ST段损伤性抬高的心电图特点和病因,及其与手术的关系。方法对86例患者术后进行12导联心电图检测。结果 37例术后ST段出现损伤性抬高,占43.02%,其中29例为心包内肺切除患者,占33.72%,8例为心包外肺切除(常规肺切除)患者,占9.30%,两组比较有统计学差异(p<0.05)。结论心包内肺切除(心包内处理肺血管)损伤心肌是术后ST段抬高的主要病因。心包外左肺切除也可引起ST段损伤性抬高。
Objective To investigate the characteristics and causes of electrocardiogram (ECG) of ST-segment elevation after lung resection in lung cancer and its relationship with surgery. Methods Eighty-six patients were examined by 12-lead electrocardiogram. Results The postoperative 37 cases showed an ST elevation elevation of 43.02%, of which 29 cases were endocardial pneumonectomy (33.72%) and 8 cases were pericardial pulmonary resection (conventional lung resection), accounting for 9.30% There was a statistically significant difference (p <0.05). Conclusions Pericardial pneumonectomy (pericardial treatment of pulmonary vascular) injury is the main cause of postoperative ST-segment elevation. Pericardial left lung resection can also cause ST-segment injury elevation.