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为探讨移居高海拔地区一年以上人心脏改变及返平原后的转归,应用ECG、X线、UCG对81名青年作了动态观察,高原ECG提示:HR明显增快,ST-T普遍呈缺血性改变,部分伴传导障碍:RVH占64.2%,双室肥厚21%,LVH仅一例,UCG见右室内径增大和流出道增宽。X线下右心及双侧心影增大。返平原9天,HR迅速减慢,窦性心动过缓增多.其余指标均有好转。30天时,ECG的RVH已基本消失,UCG指标93%恢复正常。X线下心影大部好转。285天时均转为正常。说明:高原心脏改变随海拔的升高而加剧;RVH和室腔的增大并存;左心受累并非罕见。随返平原时间的延长,心脏改变可逐渐恢复。
To investigate the outcome of heart surgeries and return to the plain after more than one year of emigration in high altitude areas, 81 young adults underwent dynamic observation using ECG, X-ray and UCG. Altitude ECG showed that HR was significantly increased and ST-T was generally Ischemic changes, some with conduction disorders: RVH accounted for 64.2%, double hypertrophy in 21%, only one case of LVH, UCG see the right ventricular diameter increased and the outflow tract widened. Right X-ray and bilateral heart shadow increased. Return to plain 9 days, HR rapidly slowed down, increased sinus bradycardia. The remaining indicators have improved. At 30 days, ECG RVH had almost disappeared, 93% of UCG index returned to normal. X-ray most of the improvement of heart shadow. 285 days were normal. Description: Altered plateau changes with altitude increased exacerbation; RVH and ventricular enlargement co-exist; left heart involvement is not uncommon. With the return of plain time, heart changes can be gradually restored.