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目的探讨慢性肾功能不全(CRF)患者心律失常和心肌缺血的发生特点及与临床预后的关系。方法对654例CRF病例临床情况和心电图进行分析。结果 654例CRF患者中,478例出现心电图异常变化。其中以房性心律失常最为多见。其次为室性心律失常、ST-T及左心室肥大心电图改变。结论 CRF患者心律失常发生率最高。对于慢性肾功能不全、尿毒症的患者要注意其心电图的变化,及时纠正水和电解质紊乱,并积极予以防治,提高CRF患者的生存质量及降低病死率。
Objective To investigate the characteristics of arrhythmia and myocardial ischemia in patients with chronic renal insufficiency (CRF) and its relationship with clinical prognosis. Methods 654 cases of CRF cases and ECG analysis. Results Among 654 CRF patients, 478 patients had abnormal ECG changes. One of the most common atrial arrhythmia. Followed by ventricular arrhythmias, ST-T and left ventricular hypertrophy ECG changes. Conclusion The incidence of arrhythmia in CRF patients is the highest. For chronic renal insufficiency, patients with uremia should pay attention to changes in ECG, timely correction of water and electrolyte disorders, and actively to control, improve the quality of life of patients with CRF and reduce mortality.