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目的探讨胆石病伴心动过缓患者手术安全性及围手术期处理的方法。方法选择101例动态心电图记录到24 h内RR间期>1.5 s 5次以上或心室率<60次/m in的胆石病患者,观察其手术前后临床症状及动态心电图参数变化情况。结果手术后患者的临床症状显著改善,动态心电图参数差异有统计学意义〔P<0.01〕。92.1%的患者心动过缓消失。结论胆石病伴心动过缓为可逆性改变,手术切除病灶后大部分患者可恢复正常,切实采用围手术期处理,手术是安全的。
Objective To investigate the safety and perioperative management of gallstone patients with bradycardia. Methods 101 patients with cholelithiasis who had more than 1.5 s RR interval> 1.5 s or ventricular rate <60 s / m in 24 h were enrolled in this study. The changes of clinical symptoms and dynamic electrocardiogram before and after operation were observed. Results The clinical symptoms of patients after operation were significantly improved, and the parameters of ambulatory electrocardiogram were significantly different (P <0.01). 92.1% of patients disappeared with bradycardia. Conclusions Cholelithiasis with bradycardia is a reversible change. Most of the patients can return to normal after surgical removal of the lesion, and the perioperative management is practically effective. The operation is safe.