335例原发性肝癌患者常规心电图临床分析  

The analysis of electrocardiography in 335 patients with primary hepatic carcinoma

作　　者：朱晨[1] 张磊[1] 厉剑[1] 谢玮[1] 李洪[1] 李骁睿 金莎莎[1] 杨洁[3] 

机构地区：[1]杭州市第一人民医院心电功能科,浙江杭州310006 [2]浙江科学技术出版社,浙江杭州310006 [3]杭州市第一人民医院病案统计室,浙江杭州310006

出　　处：《中国现代医生》2014年第25期155-157,共3页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2012KYB155)

摘　　要：目的：探讨原发性肝癌（下称肝癌）患者常规心电图（下称心电图）的诊断及其临床意义。方法通过前瞻性和回顾性相结合的分析法,对1997年1月~2014年1月经住院确诊的无心脏病的且在手术和化疗前的335例肝癌患者的心电图结合电解质二项指标等进行统计分析。结果335例肝癌患者中心电图异常266例（79.40%）,心电图正常69例（20.60%）。心电图异常主要有低电压101例（30.15%）、T波改变99例（29.55%）、窦性心律失常72例（21.49%）、Q-T间期延长65例（19.40%）、ST段改变48例（14.33%）、传导阻滞46例（13.73%）、房性心律失常40例（11.94%）、U波改变26例（7.76%）、室性心律失常14例（4.18%）。335例肝癌患者中有胸腔和/或腹腔积液140例（占41.79%）。心电图正常、异常组与电解质正常、异常组间比较,差异有统计学意义（字2=6.37,P〈0.05）。结论335例肝癌患者的心电图异常主要表现低电压、ST-T和U波改变、心律失常、ST段和Q-T间期延长,与胸腔和（或）腹腔积液、心脏损害和电解质异常相关。Objective To discuss the clinic value of Electrocardiography （ECG）in patients with primary hepatic car-cinoma（PHC）. Methods The ECG and blood electrolytes of 335 cases of PHC patients hospitalized since January 1997 to January 2014, data were analyzed perspectively and retrospectively, all patients were at the exclusion of cardiac disease and absorbed before surgery and chemotherapy. Results There were 266 cases of abnormal ECG（79.40%）and 69 cases of normal ECG （20.60%） in all. The abnormities of ECG were the followings, 101 cases of low voltage（30.15%）, 99 of T wave change （29.55%）, 72 of sinus arrhythmia, 65 of QT prolongation （19.40%）, 48 of ST-T change （14.33%）, 46 of conduction block （13.73%）, 40 of atrial tachyarrhythmia （11.94%）, 26 of U wave change（7.76%）, 14 of ventricular arrhythmia （4.18%）. 140 cases of PHC （41.79%） with hydrothorax or/and seroperitoneum in all.There were statistically significant differences between the abnormal and normal ECG groups, the same as be-tween the abnormal and normal blood electrolytes groups. Conclusion 335 cases of PHC were mainly manifested in ECG as,low voltage, ST-T change and U wave change,arrhythmia, ST segment and QT prolongation,which were re-lated to dropsy of serous cavity（hydrothorax/seroperitoneum）,cardiac involvement,and blood electrolyte abnormalities.

关 键 词：原发性肝癌 常规心电图异常 胸腔和(或)腹腔积液 心脏损害 电解质异常 

分 类 号：R735.7[医药卫生—肿瘤] R540.41[医药卫生—临床医学]