63例慢性肾脏病患者非高钾血症帐篷状T波特点分析  

Analysis of tent-shaped T wave characteristics in 63 patients with chronic kidney disease without hyperkalemia

作　　者：刘凤杰 吴春华[1] 陈震[2] 翟康宁 LIU Fengjie;WU Chunhua;CHEN Zhen;ZHAI Kangning(Department of Electrocardiogram,2.Department of Cardiovascular Medicine,Taixing People's Hospital,Taizhou Jiangsu 225400,China)

机构地区：[1]泰兴市人民医院心电图室,江苏泰州225400 [2]泰兴市人民医院心内科,江苏泰州225400

出　　处：《实用心电学杂志》2023年第4期269-271,共3页Journal of Practical Electrocardiology

摘　　要：目的分析慢性肾脏病(chronic kidney disease,CKD)患者在非高钾血症状态下心电图出现的帐篷状T波的特点。方法选择住院的常规体表心电图诊断为帐篷状T波的高钾血症患者(高钾组)、非高钾血症CKD患者(高钾记忆组)各63例,测量V3导联的T波时限、T波振幅,并比较组间差异。结果两组患者V3导联的T波时限分别为(146.10±20.47)ms、(153.44±16.99)ms,T波振幅分别为1.50(1.00,2.00)mV、1.10(0.70,1.50)mV,组间比较差异均有统计学意义(P均<0.05)。结论帐篷状T波的形态变化与血清钾浓度相关,高钾记忆现象可能与局部心肌钾离子的异常分布或血清钾浓度的动态平衡过程有关。Objective To analyze the characteristics of tent-shaped T wave in patients with chronic kidney disease(CKD)in a non-hyperkalemia state.Methods We selected 63 hyperkalemia inpatients diagnosed with tent-shaped T wave by routine body surface ECG(hyperkalemia group),and another 63 CKD inpatients without hyperkalemia(hyperkalemia memory group).The duration and amplitude of T wave in lead V3 were measured,and compared between the two groups.Results In the two groups,the T wave duration in lead V3 is separately(146.10±20.47)ms and(153.44±16.99)ms while the amplitude of T wave is 1.50(1.00,2.00)mV and 1.10(0.70,1.50)mV,respectively,both with statistically significant differences(P<0.05).Conclusion The morphological changes of tent-shaped T wave are related to serum potassium concentration.The hyperkalemia memory phenomenon may be associated with the abnormal distribution of potassium ions in local myocardium,or the dynamic balance process of serum potassium concentration.

关 键 词：高钾血症 心电图 慢性肾脏疾病 T波时限 T波振幅 帐篷状T波 高钾记忆 

分 类 号：R692[医药卫生—泌尿科学] R540.41[医药卫生—外科学]