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目的:探讨胆心综合征的临床特点和心电图变化规律,以明确诊断减少误诊。方法:对21例胆心综合征患者的临床资料和心电图资料进行回顾分析。结果:21例胆心综合征的心电图均有ST-T改变,其改变在Ⅱ、Ⅲ、avF导联及V 4~V 6导联明显,此改变与冠心病心绞痛的心电图改变相类似,故很容易引起误诊。结论:胆心综合征易误诊为冠心病心绞痛,临床医生应提高对本病的认识,减少误诊。
Objective: To investigate the clinical features and ECG changes of gallbladder syndrome in order to confirm the diagnosis and reduce misdiagnosis. Methods: The clinical data and electrocardiogram data of 21 patients with gallbladder syndrome were retrospectively analyzed. Results: The electrocardiogram of 21 cases of gallbladder syndrome had ST-T changes. The changes were obvious in the leads of Ⅱ, Ⅲ, avF and the leads of V 4 ~V 6. This change was similar to the ECG changes of angina pectoris It is easy to cause misdiagnosis. Conclusion: The gallblad heart syndrome is often misdiagnosed as coronary heart disease and angina pectoris. Clinicians should raise awareness of the disease and reduce misdiagnosis.