肺癌患者心电图临床分析与探讨  

Clinical analysis and discussion of electrocardiogram changes in patients with lung cancer

作　　者：李双萍[1] 刘尚武[2] 张茂兰[1] 王丽云[1] 管玲[1] 

机构地区：[1]甘肃省肿瘤医院功能科,甘肃兰州730050 [2]兰州大学第二附属医院功能检查科,甘肃兰州730030

出　　处：《甘肃医药》2015年第5期321-323,共3页Gansu Medical Journal

摘　　要：目的:探讨肺癌患者心电图改变。方法:收集966例肺癌住院患者常规心电图资料进行分析研究。结果:肺癌患者心电图改变发生率较高,为55.18%,其中窦性心动过速的发生率达到10%以上,肢导低电压和ST-T改变的发生率达到5%以上,房颤的发生率为4.76%。从左右肺癌异常心电图比较可以看出,完全性右束支阻滞和不完全性右束支阻滞的发生率是右肺癌高于左肺癌;房颤、ST-T改变和房内阻滞是左肺癌高于右肺癌。从不同年龄组心电图异常发生率比较可以看出,窦性心动过速年龄越小的发生率越高;持续性房颤年龄越大发生率越高。结论:肺癌患者会引起各种心电图改变,肺癌与房颤的发生有一定联系。Objective： To observe the electrocardiogram changes in patients with lung cancer. Methods： 966 cases electrocardiogram of lung cancer were analysed. Results： The incidence of electrocardiographic abnormality was 55.18%. The incidence of sinus tachycardia was more than 10%. The incidence of low voltage in the limb leads was more than 5%. The incidence of ST-T changes was more than 5%. The incidence of atrial fibrillation was 4.76%. The incidence of complete right bundle branch block and incomplete right bundle branch block of the right lung cancer was higher than the left lung cancer. The incidence of atrial fibrillation, ST-T changes and intra-atrial block of the left lung cancer was higher than the fight lung cancer. The incidence of sinus tachycardia in young was higher than older. The incidence of persistent atrial fibrillation in older was higher than young. Conclusion： Various kinds of electrocardiographic abnormality may be found in patients with lung cancer. The incidence of atrial fibrillation was associated with lung cancer.

关 键 词：肺癌 十二导联常规心电图 

分 类 号：R540.41[医药卫生—心血管疾病]