2019 年第 11 期 第 14 卷

病毒性肝炎肝硬化患者的心电图特点分析

Electrocardiogram characteristics of patients with viral hepatitis and cirrhosis

作者：卢利红吴其明宋毓青陈永福王茜杨柳张素娟徐文晶

英文作者：

单位：100015首都医科大学附属北京地坛医院心内科北京市中西医结合感染性疾病研究所

英文单位：

关键词：肝硬化；病毒性肝炎；肝硬化心肌病；心电图

英文关键词：

• 摘要：

• 【摘要】目的    探讨病毒性肝炎肝硬化患者的心电图特点，为肝硬化心肌病的临床早期诊治提供参考。方法    回顾性分析首都医科大学附属北京地坛医院2012年8月至2018年7月门诊及住院病毒性肝炎肝硬化患者2 886例的临床资料，使用美国GE公司的MAC5500光电心电图机，按国际统一标准安放12导联心电图电极；最后描记心电图，由心电图专业医师出具心电图报告，分析患者心电图特点。结果    病毒性肝炎肝硬化患者2 886例，12导联心电图检查提示心电图异常1 132例（39.22%），其中表现为Q-T间期延长388例（13.44%），ST段异常296例（10.26%），窦性心动过缓227例（7.87%），窦性心动过速152例（5.27%），T波异常103例（3.57%），左心室高电压98例（3.40%），电轴左偏76例（2.63%），室性期前收缩72例（2.49%），房性期前收缩70例（2.43%）。结论    肝硬化会导致肝硬化心肌病，而其临床表现比较隐匿。对肝硬化患者定期进行心电图检查可及早发现肝硬化心肌病，以及时采取干预措施。

• 【Abstract】Objective    To explore the characteristics of electrocardiogram in patients with viral hepatitis and cirrhosis and to provide reference for early diagnosis and treatment of cirrhotic cardiomyopathy. Methods    A total of 2 886 patients′clinical data with viral hepatitis and cirrhosis admitted to Beijing Ditan hospital, Capital Medical University from August 2012 to July 2018 were retrospectively analyzed. America GE MAC5500 photoelectric electrocardiogram machine was used to perform 12-lead electrocardiogram examination by professional physicians. Characteristics of electrocardiogram were analyzed. Results    Electrocardiogram showed abnormal signs in 1 132 cases(39.22%), including 388 cases(13.44%) of long Q-T interval, 296 cases(10.26%) of abnormal ST-segment, 227 cases(7.87%) of sinus bradycardia, 152 cases(5.27%) of sinus tachycardia, 103 cases（3.57%） of abnormal T wave, 98 cases(3.40%) of left ventricular high voltage, 76 cases(2.63%) of electrical axis left deviation, 72 cases(2.49%) of premature ventricular beat and 70 cases(2.43%) of premature atrial beat. Conclusions    Liver cirrhosis can cause cirrhotic cardiomyopathy and the clinical manifestations are insidious. Regular electrocardiogram examination is necessary for identifying cirrhotic cardiomyopathy and taking reasonable intervention measures as early as possible.