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目的观察黄疸型肝炎患者心电图和心肌酶的变化。方法选取黄疸型肝炎病例324例,正常对照组97例,常规心电图、心肌酶检查。结果心电图改变有窦性心动过速、早搏、QRS波低电压、ST-T改变等改变,以ST-T改变为主;重度黄疸组心电图以窦性心动过速及ST-T改变发生率高(P<0.001)。心电图异常率及心肌酶升高率与对照组比较差异有统计学意义。结论心电图及心肌酶检测可作为黄疸型肝炎合并心脏损伤的无创性检查指标之一。
Objective To observe the changes of ECG and myocardial enzymes in patients with icteric hepatitis. Methods 324 cases of jaundice hepatitis were selected, 97 cases of normal control group, routine electrocardiogram, myocardial enzyme test. Results Electrocardiogram changes were sinus tachycardia, premature beat, QRS wave low voltage, ST-T changes and other changes to ST-T-based changes; severe jaundice ECG to sinus tachycardia and ST-T changes in the incidence of high (P <0.001). Electrocardiogram abnormalities and myocardial enzyme increased rate compared with the control group, the difference was statistically significant. Conclusion ECG and myocardial enzyme test can be used as jaundice hepatitis combined with heart injury one of the noninvasive indicators.