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目的 :探讨获得性免疫缺陷综合征 (AIDS)的心脏损伤及相应的心电图改变。方法 :回顾性分析 1995~ 2 0 0 0年间收治的 2 5例 A IDS患者的临床资料 ,并结合文献复习。结果 :2 5例患者心电图表现分别为窦性心动过速、束支传导阻滞、Q- T间期延长及 ST- T改变 ;超声心动图提示心脏增大 ,射血分数降低 ,临床上多死于循环、呼吸衰竭。结论 :心脏损伤是人类免疫缺陷病毒感染的相关心肌病变 ,也是 AIDS致死的主要原因 ,尽早地对A IDS患者进行心电图及超声心动图监测 ,对治疗及改善预后有着重要的作用。
Objective: To investigate the cardiac injury and corresponding ECG changes of Acquired Immune Deficiency Syndrome (AIDS). Methods: The clinical data of 25 AIDS patients admitted between 1995 and 2000 were analyzed retrospectively. Results: The electrocardiographic findings of 25 patients were sinus tachycardia, bundle branch block, Q-T interval prolongation and ST-T changes respectively. Echocardiography showed that the heart increased and the ejection fraction decreased Died of circulation, respiratory failure. CONCLUSION: Cardiac injury is a related cardiomyopathy of human immunodeficiency virus infection and also a leading cause of death from AIDS. ECG and echocardiographic monitoring of patients with AIDS as soon as possible plays an important role in the treatment and prognosis.