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一百年前,首先指出,当胆绞痛发作时,可以反射性地引起心脏方面的碍障。其后许多临床学家观察胆石症和器质性心脏病之间存在着联系。近年来,国内对此症有报道,但例数较少。本文对233例胆道疾病住院患者的心电图改变进行分析,并与对照组及随访组资料进行对比,试图说明胆道疾病对心电图的影响。资料来源和方法1979—1980两年间因胆道疾病初次住院、作过心电图、并可排除心脏疾患的病人,称为疾病组。对照组是按疾病组的相同性别、相近年龄分布,健康检查中随机取得。疾病组中有异常心电图改变的患者,出院后3个月到2年随访,复查心电图,称为随访组。各组中的高血压和临界高血压的诊断是根据世界卫生组织1978年高血压会议制定的标准。
A hundred years ago, we first pointed out that when biliary colic attack, it can reflex heart-caused obstacles. Since then, many clinicians have found that there is a link between cholelithiasis and organic heart disease. In recent years, this disease has been reported in China, but the number of cases is less. In this paper, 233 patients with biliary tract disease in hospital ECG changes were analyzed and compared with the control group and follow-up data to try to illustrate the impact of biliary tract disease on the ECG. DATA SOURCES AND METHODS Patients who had their first hospitalization for biliary illnesses during the two years between 1979 and 1980, had an electrocardiogram and were able to rule out heart disease were referred to as the disease group. The control group is based on the same gender of the disease group, similar age distribution, health checks randomly obtained. Patients with abnormal electrocardiographic changes in the disease group were followed up for 3 months to 2 years after discharge, and the electrocardiogram was reviewed and called the follow-up group. The diagnosis of hypertension and critical hypertension in each group was based on the criteria established by the WHO Hypertension Meeting in 1978.