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目的探讨吉兰-巴雷综合征(GBS)患者心电图改变的临床特征及发病机制。方法观察102例GBS患者心电图改变的临床表现,以及与病情轻重,转归的关系。结果102例GBS患者中49例(48.04%)出现心电图异常,以窦性心动过速(27.45%)和T波改变(18.63%)最常见;病情越重,心电图异常发生率越高;心电图异常者预后不良。结论GBS患者心电图改变可能与心脏自主神经功能紊乱等多种因素有关。心电图检查对估计GBS病情和预后有重要的参考价值。
Objective To investigate the clinical features and pathogenesis of ECG changes in Guillain - Barre syndrome (GBS) patients. Methods The clinical manifestations of electrocardiographic changes in 102 patients with GBS were observed, and their relationship with severity and outcome were observed. Results 49 cases (48.04%) of 102 GBS patients had abnormal electrocardiogram (ECG), sinus tachycardia (27.45%) and T wave (18.63%) were the most common. The more serious the disease was, the higher the electrocardiogram abnormality was. Poor prognosis. Conclusion ECG changes in patients with GBS may be related to cardiac autonomic dysfunction and other factors. ECG assessment of GBS disease and prognosis have important reference value.