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目的探讨胆—心综合征的临床特点及急诊处理方法。方法根据性别、年龄、发病原因、病程经过及胆囊B超、心电图、血常规对临床资料进行分析。结果48例急诊病人最后均被确诊,经抗生素治疗后症状很快改善。结论急诊对可疑冠心病,心绞痛、心肌炎患者,经积极治疗效果不佳者,均常规查胆囊B超、血常规以确诊。对心—胆综合征很有必要查心电图,以防误诊。
Objective To investigate the clinical features and emergency treatment of gallstone-heart syndrome. Methods The clinical data were analyzed according to gender, age, etiology, course of disease, gallbladder ultrasonography, electrocardiogram and blood routine. Results 48 cases of emergency patients were finally diagnosed, symptoms improved rapidly after antibiotic treatment. Conclusions Emergency diagnosis of coronary heart disease, angina pectoris and myocarditis patients with poor efficacy of active treatment are routinely diagnosed by cholecystolectomy and blood routine examination. Heart-gall syndrome is necessary to check the electrocardiogram to prevent misdiagnosis.