流行性出血热对房室结功能的影响(PDF)
《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]
- 期数:
- 1995年第2期
- 页码:
- 83-85,118
- 栏目:
- 论著
- 出版日期:
- 1995-03-01
文章信息/Info
- Title:
- Effects of epidemic hemorrhagic fever on function of atrial-ventricular node
- 作者:
- 衰正波1 俞子东2 俞远程2 潘品潮1 吕 敏1
- 渐江省新昌县人民医院 1内科 2特诊科 新昌 312500
- Author(s):
- Yuan Zhengbo; Yu Zidong; Yu Yuancheng; et al
- Xinchang County People’s Hospital，Xinchang，Zhejiang Province，Xinchang 312500
- 分类号:
- -
- DOI:
- -
- 文献标识码:
- -
- 摘要:
- 采用无创伤性食管心房调搏法,测定70例流行性出血热(EHF)患者发病期与恢复期房室结(AVN)的电生理参数,对其中31例分别测定了发病早期和发病晚期的参数．对4例重型患者测定了4次。分别比较了发病期与恢复期，发病早期与发病晚期，轻型发病期与恢复期，中重型发病期与恢复期AVN功能。结果显示：发病期，尤其是发病早期，AVN功能损害明显．中重型较轻型损害明显。EHF对AVN功能的损害是EHF某些心律失常的直接原因。无创伤性食管心房调搏法是检查EHF患者心脏损害的安全、可靠指标。
- Abstract:
- In order to evaluate the effects of epidemic hemorrhagic fever(EHF)on the function of atrial-ventricular node(AVN),we measured AVN electrophysiologjcal parameters in 70 patients with EHF by the method of transesophageal atrial pacing，and compared the action between pathogenic stage and restoration stage，and between mild and severe cases at early pathogenic and late pathogenic stages.It was found that AVN function was significantly impaired at pathogenic stage，especially at early pathogenic stage in severe cases．The impairment of AVN function caused by EHF may be the direct reason of certain arrhythmia in EHF patients．Therefore，this method is regarded as safe and reliable in diagnosing cardiac impairment in EHF patients．
参考文献/References
［1］ 戴自英,主编．实用内科学．第9版．北京：人民卫生出版社．1993：86.
［2］储 峰,张北华,季 青,等．流行性出血热529例心电图分析．中华传染病杂志 1990; 8：113.
［3］俞子东,袁正波,吕 敏．流行性出血热致心律失常163例心电图分析．浙江医学情报1991；1：27.
［4］俞子东,潘品潮,俞远程,等．流行性出血热并发窦性心动过缓机制探讨．临床荟萃1994；8：348.
［5］倪裕国,沈碧如,许克江,等．经食道心房程序式调搏器临床应用的初步报告．铁道医学1983；11：65.
［6］权德海,嵇景林,郎 威,等．流行性出血热伴多脏器损害．临床荟萃1994；9：339.
备注/Memo
- 备注/Memo:
- Received 1994-11-17；revised 1995-03-10
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更新日期/Last Update: 1995-03-01