神经性贪食症内分泌功能改变临床探讨

目的了解神经性贪食症（BN）的临床情况及内分泌功能改变。方法对2例神经性贪食症的临床资料进行分析。结果发现发病前大多以厌食起病或神经性厌食症,并伴有下丘脑-垂体-性腺轴、肾上腺皮质、甲状腺等多种内分泌功能紊乱。结论认为BN及闭经为下丘脑功能紊乱所致,而肾上腺皮质激素、甲状腺激素改变为情绪精神应激和体重减轻后继发的结果。     

重度颅脑外伤致心电图心肌酶谱改变的临床意义

检测５８例严重颅脑外伤的心电图，心肌酶谱，发现８１％心电图异常与７３％心肌酶谱变化同时存在。心电图变化表现为各种心律失常，ＳＴ－Ｔ改变，Ｑ－Ｔ延长，心肌酶谱变化主要以谷草转氨酶肌酸磷酸激酶和同功酶增高为主。增高范围为；ＡＳＴ１６０－１２８０ｕ／Ｌ，ＣＫ４２０－３１２０ｕ／Ｌ，ＣＫ－ＭＢ２４－７２ｕｌ／Ｌ。酶谱的变化与Ｇｌａｓｃｏｗ计分标准呈负相关，并与疾病的预后关系密切。     

氮质血症的心电图改变(附724例临床分析)

本文通过724例氮质血症病人的临床分析,认为氮质血症本身可引起心电图异常,如三度房室传导阻滞等,这可能是由于氮质血症本身对心肌的影响,造成心肌的严重损害,增加疾病的死亡率。临床上许多疾病均可引起氮质血症,如能设法降低血中尿素氮的浓度,可减少因合并心脏损害的死亡率,延长病人的生命。     

子痫患者心电图改变的探讨

目的 探讨子痫患者心电图的改变。方法 对63例子痫患者的心电图改变进行分析。结果 发现其综合表现除窦性心动过速，ST段，T波改变外，还包括房性与窦性早搏，QRS低电压，Q-T间期延长等，心电图改变是子痫患者冠状动脉痉挛，导致心肌损害的结果。结论 心电图改变反应了疾病的严重程度。除治疗原发病外，应重视心电图的改变，并对心肌进行保护治疗。     

胎儿心电图ST段改变的临床意义

胎儿心电图（ＦＥＣＧ）ＳＴ段的改变，在临床较为常见。本文于１９８９年１２月～２０００年６月应用国产胎儿心电图－Ｂ型仪，经孕妇腹壁间接法测试１２５９例，共测出胎儿ＳＴ段改变２４３例，对其进行分析，探讨临床意义。 １资料与方法 １．１一般资料：本文２４３例胎儿ＳＴ段改变为门诊及住院孕产妇，年龄２３～３８岁，孕１３～４４周。 １．２方法：应用ＦＥＣＧ－Ｂ型仪，无选择进行经孕妇腹壁间接法测试。 １．３诊断标准：根据１９９０年１１月中国优生协会胎儿心电图研究中心制订：“ＳＴ改变以上移或下移５ｕＶ为标准”。 ２…     

碳酸氢盐透析对血液酸碱,电解质及心电图影响的观察

碳酸氢盐透析对血液酸碱、电解质及心电图影响的观察Ｏｂｓｅｒｖａｔｉｏｎｏｆｔｈｅｉｎｆｌｕｅｎｃｅｏｆｂｉｃａｒｂｏｎａｔｅｄｉａｌｙｓｉｓｏｎｔｈｅａｃｉｄｉｔｙ，ｅｌｅｃｔｒｏｌｙｔｅｓｉｎｂｌｏｏｄａｎｄｔｈｅｅｌｅｃｔｒｏｃａｒｄｉｏｇｒａｍ...     

肾综合征出血热的心电图改变

我们回顾了无锡市传染病医院近来收住院的肾综合征出血热(Hemorrhagic Fever with Renal Syndroms/HFRS)患者的心电图改变,设对照(无锡蠡园乡中小学教师)进行比较分析,发现HFRS可以并发心肌损害是可逆的.     

Electrocardiographic changes in acute perimyocarditis

Pericarditis and myocarditis are characterised by electrocardiographic changes and elevated cardiac enzymes, respectively, and patients with perimyocarditis often complain of chest discomfort. These findings are nonspecific and often lead to diagnostic difficulties, as ST-elevation myocardial infarction commonly presents in a similar fashion. Clinical differentiation between perimyocarditis and myocardial infarction are especially important because adverse side effects can occur if reperfusion therapy is administered for a patient with acute pericarditis or if a diagnosis of acute myocardial infarction is missed. We herein describe a case of perimyocarditis with ST elevation and raised cardiac markers, which led to two emergency coronary angiographies that were subsequently found to be normal. We include the three serial electrocardiographies (ECGs) performed to show the characteristic features of perimyocarditis and further discuss the importance of identifying typical and atypical ECG features of pericarditis.     

急性脑血管病与心电图改变

本文对２１０例经头颅ＣＴ证实的急性脑血管病患者心电图进行了分析，发现有心电图异常１２８例（占６０．９５％），主要表现为Ｔ波，ＳＴ段的改变和各种心律失常，出血组心电图异常率明显高于缺血组（Ｐ＜０．０１），心电图异常组与正常组比较病死率差异显著（Ｐ＜０．０５）。表明心电图改变与脑血管病的类型及预后有关。     

Electrocardiographic changes in acute ulcerative colitis

Two young women with acute ulcerative colitis were found to have electrocardiographic abnormalities which returned to normal with clinical improvement and corticosteroid therapy. Clinical and biochemical monitoring failed to reveal any cause for this previously unrecognized association and it is postulated that an aetiological agent or toxin produced by the inflammatory process may have damaged the myocardium or its autonomic supply.     

Electrocardiographic changes in chronic severe anaemia

Electrocardiogram of total 35 patients of chronic severe anaemia with haemoglobin value < or = 5 g/dl was analysed and compared with same number of age and sex matched healthy subjects. Diminished QRS voltages in all limbs and precordial leads were the dominant finding, found in 100% patients. Compensatory hyperdynamic circulatory state with myocardial scarring and chronic fibrotic changes probably explains these ECG findings in this series of patients of chromic severe anaemia.