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流行性出血热(EHF)系多器官损害性疾病,常合并心电图(EKG)改变,本文收集确诊EHF的住院患者有EKG记录者61例进行分析。 一、一般资料 61例中男性46例,女性15例。年龄10～70岁,平均34.6岁。其中EKG正常或大致正常者8例(占13％),异常者53例(占87％)。 二、EKG改变 在53例EKG异常者中,ST异常7例,T波改变18例,U波改变4例,Q—T延长9例,窦缓23例,窦不齐4例,室上速1例,早搏3例,房室传导阻滞10例,左室高电压9例,肢联低电压4例。其中如按人次统计,仅表现一次异常者17例,二次异常者23例,三次异常者7例,四次异常者2例,ST段及T波变化多见Ⅱ、Ⅲ,avF、V_4、V_5导联。
Epidemic haemorrhagic fever (EHF) is a multi-organ damage disease, often associated with changes in the electrocardiogram (EKG), the collection of confirmed EHF hospitalized patients with EKG records 61 cases were analyzed. First, the general information 61 cases of 46 males and 15 females. Aged 10 to 70 years old, with an average of 34.6 years old. Among them, 8 cases (13%) had normal or almost normal EKG and 53 cases (87%) had abnormal EKG. Second, the EKG changes in 53 cases of EKG abnormalities, ST abnormalities in 7 cases, T wave changes in 18 cases, U wave changes in 4 cases, Q-T extended in 9 cases, sinus slowly in 23 cases, sinus atrophy in 4 cases, supraventricular tachycardia 1 case, 3 cases of premature beat, 10 cases of atrioventricular block, 9 cases of left ventricular high voltage and 4 cases of low voltage of limbs. Among them, 17 cases were abnormal, 23 cases were secondary abnormalities, 7 cases were abnormal three, and 4 cases were abnormal. The changes of ST segment and T wave were more common than those of Ⅱ, Ⅲ, avF, V_4, V_5 lead.