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目的探讨急性胰腺炎患者Ranson分级与心脏损伤的相关性。方法回顾分析我院消化内科2006～2011年收住的急性胰腺炎患者96例。按照Ranson评分标准将其分为1级组、2级组及3级组,对比分析每组患者的心电图异常率,以明确患者的心脏损伤情况。结果 96例患者中有51例出现心电图异常,心电图异常率53.1%,其中1级组49例,异常心电图12例(占24.4%),2级组26例,异常心电图21(占73.1%),3级组21例,异常心电图20例(占95.2%)。异常心电图主要表现为ST-T改变及心律失常。结论急性胰腺炎患者常有心电图的异常,随着急性胰腺炎Ranson分级的增加,心电图异常率增高。心电图监测对判断病情和预后及指导治疗有重要价值。
Objective To investigate the relationship between Ranson classification and cardiac injury in patients with acute pancreatitis. Methods A retrospective analysis of 96 cases of acute pancreatitis admitted to our hospital from 2006 to 2011. According to the Ranson score, the patients were divided into the first grade, the second grade and the third grade. The abnormality rate of electrocardiogram in each group was compared to determine the cardiac damage. Results Of the 96 patients, 51 showed abnormal electrocardiogram (ECG), and the abnormality rate of electrocardiogram was 53.1%. Among them, 49 were grade 1, 12 were abnormal ECG (24.4%), 26 were grade 2, 21 were abnormal ECG (73.1% Grade 3 group 21 cases, abnormal ECG 20 cases (95.2%). Abnormal ECG is mainly manifested as ST-T changes and arrhythmia. Conclusion Patients with acute pancreatitis often have abnormal electrocardiogram. With the increase of Ranson grading of acute pancreatitis, the abnormal rate of ECG increases. ECG monitoring to determine the condition and prognosis and guiding treatment of great value.