内窥镜逆行胆管胰腺造影术对心肌缺血及心律失常的影响  

THE INFLUENCE OF ERCP ON MYOCARDIAL ISCHEMIA AND ARRHYTHMIA

作　　者：吴可光[1] 谢涵芬 王慧中[2] 汪梅[2] 赵仚 米淑华[3] 赵惠敏[3] 

机构地区：[1]中国医科大学附属第三医院内科 [2]中国医科大学附属第三医院内窥镜室 [3]中国医科大学附属第三医院动态心电图室

出　　处：《中国医科大学学报》1990年第3期210-212,219,共4页Journal of China Medical University

摘　　要：本文通过24h动态心电图(DCG),对30例经内窥镜逆行胆管胰腺造影(ERCP)患者的心肌缺血及心律失常影响作了观察。ERCP术中、术后发生ST-T波变化者为63.3%,其改变可持续至术后1—5小时。有冠心病易患因素及常规心电图有心肌缺血,左室高电压者术中及术后出现ST-T波改变者多见。ERCP术中、术后可出现单源偶发室性早持及/或房性早搏。本文强调ERCP可引起心肌缺血,心律失常,除术中有变化外更应注意术后5小时内之改变。The influence of endoscopic retrograde cholangio pancreatography (ERCP) on myocardial ischemia and arrhythmia was investigated in 30 cases by means of dynamic monitoring the 24 hour electrocardiogram.Deflection of ST-T could be found during or/and after the procedure in 63.3% of them and may last 1～5 Lours after the procedure. Deflection of ST-T during or after ERCP was most frequently seen in persons with risk factors of coronary heart disease or with evidence of myocardial ischemia and hypertrophy of left ventricle found in routine ECG examination. Occasional unifocal ventricular premature contraction or/and atrial premature contraction could be found during or after the procedure. It should be emphasized that ERCP may cause myocardial ischemia and arrhythmia so that due attention should be paid to such changes not only during the procedure, but also after the procedure for 5 hours.

关 键 词：内镜 胆管胰腺造影 心肌缺血 

分 类 号：R570.4[医药卫生—消化系统]