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与消化道内镜检查有关的并发症中,最常见的为机械性损伤引起的胃肠道穿孔或出血。有报告,在胃镜检查期间发生心搏停止致命的例子。为进一步研究内镜检查对心脏功能的影响,作者在内镜检查期间用动态心电图监护了心脏功能的改变。材料和方法:54名体检受试者,均为中老年。内镜插入前至少20分钟开始对受试者进行动态心电图监护,并连续监护至内镜退出后20分钟。受试者随机分为两组,一组(11例)内镜插入前10分钟肌注抗胆碱能药溴化布托品(butropium bromide)4mg。另一组(43例)不使用此类药物。结果:1.心率:使用抗胆碱能药组的心率,内镜插入前为77.12±4.16次/分(Ⅰ),插入时116.55±7.15次/分(Ⅱ),检查期间121.73±5.52次/分(Ⅲ),内镜即将退出前116.82±7.33次/分(Ⅳ),检查结束后20分
Of the complications associated with gastrointestinal endoscopy, the most common is gastrointestinal perforation or bleeding due to mechanical injury. There have been reports of fatal cases of asystole during gastroscopy. To further investigate the effect of endoscopy on cardiac function, the authors monitored changes in cardiac function with a dynamic electrocardiogram during endoscopy. MATERIALS AND METHODS: Fifty-four subjects were middle-aged and elderly. Subjects underwent electrocardiogram monitoring at least 20 minutes prior to endoscopic insertion and continued for up to 20 minutes after extubation. Subjects were randomly assigned to two groups, one group (n = 11) intramuscularly injected intramuscularly with 4 mg of the anticholinergic butropium bromide (10 mg). The other group (43 patients) did not use these drugs. Heart rate: The heart rate of the anticholinergic group was 77.12 ± 4.16 times / min (I) before insertion, 116.55 ± 7.15 times / minute (II) during the insertion, 121.73 ± 5.52 times / Points (Ⅲ), the endoscopic exit is about 116.82 ± 7.33 times / min (Ⅳ), 20 minutes after the end of the examination