食用猪甲状腺中毒患者的心电图分析  

Electrocardiogram analysis on patients with poisoning by ingesting porcine thyroid

作　　者：赵星海[1] 高履冰[1] 程刚[1] 王寒松[1] 刘炜[1] 孙丽萍[1] 陈晖[1] 

机构地区：[1]昆山市中医院急诊科,江苏昆山215300

出　　处：《实用心电学杂志》2011年第2期94-95,99,共3页Journal of Practical Electrocardiology

摘　　要：目的探讨食用猪甲状腺中毒患者的心电图表现,比较其与甲状腺功能亢进患者及健康体检者的心电图表现之间是否存在差异。方法对27例食用猪甲状腺中毒患者的心电图,与86例甲状腺功能亢进(甲亢)患者及86例甲状腺功能正常的健康体检者,心电图进行对照。结果中毒组患者心电图中心律失常,ST-T改变、左室高电压的发生率与甲亢组相比,二者无统计学差异(P>0.05)。二组患者心电图改变均以窦速、ST-T改变为主。但两组与健康体检组之间均存在统计学意义(P<0.01)。结论食用猪甲状腺中毒患者与健康体检者相比,其心电图存在明显异常。但食用猪甲状腺中毒患者心电图改变与甲亢患者之间无明显差异,提示两者的心电图表现可能与甲状腺激素水平升高有关。Objective To investigate the electrocardiogram （ECG） changes on patients with poisoning by ingesting porcine thyroid and patients with hyperthyroidism. Methods ECGs were analyzed to study the changes of 27 patients with poisoning by ingesting porcine thyroid, 85 patients with hyperthyroidism and 85 persons who received health check up were served as control group. Results The incidences of arrhythmia, ST-T changes and left ventricule hypervohage were the same in poisoning group and hyperthyroidism group. There was no statistic difference of ECG changes between two groups （P 〉 0.05）. The most frequent abnormality of two groups was sinus tachycardia and ST-T changes. But these two groups were both had statistically difference with persons who received health check up. Conclusion The ECG changes on patient with poisoning by ingesting porcine thyroid has no statistic difference with patients with hyperthyroidism. But they both had statistically difference with persons who received health check up, indicated that the elevated thyroid hormone might account for the ECG changes on patients with ingesting porcine thyroid gland and patients with hyperthyroidism.

关 键 词：甲状腺 猪 中毒 心电图 

分 类 号：R540.41[医药卫生—心血管疾病]