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有关纤维结结肠检查时的心电图变化资料尚少报道。本文对接受结肠镜诊断性检查的23例(男21例,女2例,年龄30~80岁)作了观察,其中1例做了两次检查。2例有高血压性心脏病,2例有冠心病,1例有风湿性心脏病并曾做过主动脉瓣修补术,18例未发现有心脏病。检查前除1例外,均予肌注阿托品、度冷丁和苯巴比妥钠。每例在检查前1小时,检查中以及检查后1小时进行心电图监护。在24人次检查中有13人次(54%)发生窦性心动过速,平均最高心室率为129±13次/分(110~145次/分),其中2例有冠心病,余无心脏病。1例临床上无心脏病,在检查中突发非阵发性房室交界性心动过速,心室率为105次/分,持续了30分钟,此例在检查前未给阿托品。另1例临床无心脏病,在检查前
Information on changes in the electrocardiogram of the fibrous colon during colonoscopy is seldom reported. In this paper, 23 cases (21 males and 2 females, aged 30 to 80 years) who underwent colonoscopy diagnostic tests were observed, of which 1 case was examined twice. 2 had hypertensive heart disease, 2 had coronary heart disease, 1 had rheumatic heart disease and had aortic valve repair, 18 had no heart disease. In addition to an exception before the examination, were intramuscular injection of atropine, meperidine and phenobarbital sodium. Each case 1 hour before the examination, during the examination and 1 hour after the examination for ECG monitoring. Sinus tachycardia occurred in 13 (54%) patients with an average heart rate of 129 ± 13 beats / min (110 to 145 beats / min) in 24 examinations, of which 2 had coronary heart disease and the other had no heart disease. One case of clinical no heart disease, in the examination of sudden non-paroxysmal atrioventricular junctional tachycardia, ventricular rate was 105 beats / min, lasted 30 minutes, this case did not give atropine before the examination. Another case of clinical no heart disease, before the examination