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病毒性肝炎并发心脏损害早有报告.本文对我院收治的46例乙型病毒性肝炎导致心律失常作一分析.1 临床资料病例选择:本院病毒性肝炎患者,并有心脏改变者46例,为其乙肝表面抗原(HBsAg)均为阳性,经临床、x线、血生化和酶学的检查,排除了冠心病和其他病毒性心肌炎,心律失常无其它原因解释者.如暂时不能排除心脏疾患,经保肝治疗后,随着肝炎的恢复,心律失常明显改善或消失者,也作为入选病例.在46例肝炎病例中,急性肝炎占4.5%,慢性肝炎占95.5%.心脏症状(胸闷、心悸、心慌等)伴有肝炎症状者占73.8%,不伴有肝炎症状者占26.2%,肝功损害者占62.8%.其心电图改变:偶发室早14例,频发性室早7例,偶发性结性早搏5例,房早呈二三联律4例,窦性心动过速3例,冠状窦性心律3例,Ⅰ度房室传导阻滞、Ⅱ度房室传导阻滞、窦性心动过缓各2例,窦房游走节律、预激症候群(B型)各1例.
Viral hepatitis complicated by heart damage have been reported.This article admitted to our hospital 46 cases of hepatitis B virus induced arrhythmia for an analysis.1 clinical data of patient selection: our hospital viral hepatitis, and heart changes in 46 cases , For the positive of hepatitis B surface antigen (HBsAg), by clinical, x-ray, blood biochemistry and enzymatic examination, excluding coronary heart disease and other viral myocarditis, arrhythmia no other explanation of reasons such as temporary can not rule out the heart In 46 cases of hepatitis, acute hepatitis accounts for 4.5% and chronic hepatitis accounts for 95.5% .Heart Symptoms (chest tightness , Heart palpitations, palpitations, etc.) with symptoms of hepatitis accounted for 73.8%, not associated with hepatitis symptoms accounted for 26.2%, liver damage accounted for 62.8% of its ECG changes: sporadic as early as 14 cases, frequent as early as 7 cases , 5 cases of accidental premature rupture of premature ventricular tachycardia in 4 cases, 3 cases of sinus tachycardia, 3 cases of coronary sinus rhythm, Ⅰ degree atrioventricular block, Ⅱ degree atrioventricular block, Sinus bradycardia in 2 cases, sinoatrial walking rhythm, pre-shock syndrome (B type) in 1 case.