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作者报告63例重症肌无力患者,其中死亡7例,尸检4例。其心脏情况如下:①心电图异常者约占40%。以ST段和T波的异常率最高,占半数。伴有胸腺瘤者的异常心电图发生率,较不伴有胸腺瘤者高,与健康对照组相比,亦差异显著。②死亡的7例中,有3例可能与心脏损害有关。计心力衰竭、停搏后缺氧性脑病和原因不明的骤死(尸检证实有心肌炎)各1例。③尸检的4例中,2例有心肌炎。重症肌无力患者心脏病变的原因,考虑为心肌炎或伴发于
The authors reported 63 patients with myasthenia gravis, including 7 deaths and 4 autopsy. The heart conditions are as follows: ① ECG abnormalities account for about 40%. The abnormal rate of ST segment and T wave was the highest, accounting for half of them. The incidence of abnormal ECG in patients with thymoma was higher than that in patients without thymoma, which was also significantly different from that in healthy controls. ② Of the 7 death cases, 3 cases may be related to heart damage. Counting of heart failure, hypoxic encephalopathy after arrest and unexplained sudden death (autopsy confirmed myocarditis) in 1 case. ③ autopsy in 4 cases, 2 cases of myocarditis. Myasthenia gravis patients with heart disease, consider myocarditis or associated with