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1984年至1985年6月我科共收住院治疗胆道疾患280例,有胆心表现者32例,确诊为胆心综合征者22例。平均年龄48岁。其临床症状类似冠心表现。心电图改变为心动过缓13例,T波改变13例,S—T段改变4例,束支传导阻滞(右)2例,早搏3例,房颤1例。心动过速原因甚多未做统计。随访时间半年以内12例,半年以上(包括半年)者10例。典型病例:例1,女,63岁。间歇性右上腹痛三周,伴恶心吐,右上腹轻压痛,B超提示胆囊炎胆石症收治我科。心电图示V_3、V_4、V_5、V_6S—T段下移0.05mv,经治疗一周后复查心电图正常。行胆囊切除术后第二天再查心电图,QRS主波导联
From 1984 to June 1985, our department received a total of 280 hospitalizations for biliary disorders, 32 cases of biliary manifestations, and 22 cases of biliary heart syndrome. The average age is 48 years old. Its clinical symptoms similar to coronary heart performance. ECG changes to bradycardia in 13 cases, T wave changes in 13 cases, S-T segment changes in 4 cases, bundle branch block (right) in 2 cases, 3 cases of premature beats, 1 case of atrial fibrillation. Tachycardia for many reasons without statistics. Follow-up time within six months in 12 cases, more than six months (including six months) in 10 cases. Typical cases: Case 1, female, 63 years old. Intermittent right upper quadrant pain for three weeks, with nausea vomiting, right upper quadrant mild tenderness, B ultrasound prompt cholecystitis cholelithiasis admitted to our department. ECG showed V_3, V_4, V_5, V_6S-T segment down 0.05mv, after a week of review of ECG normal. Check the next day after cholecystectomy ECG, QRS main waveguide