摘要
目的:分析52例恙虫病心脏合并症的临床表现,以提高其早期诊断率。方法:对245例恙虫病患者,通过心电图、心脏B超,心肌酶谱检查等方法进行回顾性分析。结果:临床上恙虫病患者合并心脏异常表现者占21.2％(52例/245例)。其中,心电图显示窦性心动过速8例,窦性心动过缓16例,ST—T改变13例,房性早搏10例,室性早博5例,房颤5例,低电压22例,房室传导阻滞13例。心脏超声显示5例有少量心包积液。所有病例经氯霉素抗恙虫病治疗,部分病例针对心脏合井症辅以营养心肌和对症治疗痊愈。结论:恙虫病合并心脏异常表现者常见,如能早期发现,及时治疗,预后良好。
Objective; To study the clinical features of scrub typhus complicated with heart disorder, to elevate diagnostic rate of it. Methods: Electrocardiogram, echocardiography, and Myocardial emzymes were Studied retrospectively in 245 cases of scrub typhus. ResultS: The rate of heart disorder was 21.2% (52/245) in scrub typhus. Electrocardiogram showed sinus tachycardia in 8 cases, sinas bradycardia in 16 cases,ST -T changes in 13 cases, atrial premature beats in 10 cases, ventricular premature beats in 5 cases, atrioventricular block in 13 cases, atrial fibnillation in 5 cases, low voltage in 22 cases, Ventricular high voltage in 4 cases. Echocardiography showed that 5 patients had little hydropericardium. All the patients were cured and managed with chloramphenicol,and some of them were supplimentally treated with myocardial nutrition and expectant treat-ments. Conclusion: Scrub typhus is commonly complicated with heart disoreder. If the complication can be diagnosed and treated earlier, the prognosis of it may be better.
出处
《中国临床医学》
2003年第3期397-398,共2页
Chinese Journal of Clinical Medicine
