摘要
目的:分析原发性肝癌患者介入治疗后的心电图变化及影响因素.方法:选取2012-01/2014-01海南医学院附属医院接受治疗的108例原发性肝癌患者,所有患者均进行经肝动脉化疗栓塞术(transcatheter arterial chemotherapy embolization,TACE)治疗,对患者手术前后进行12导联心电图检查.结果:108例患者TACE治疗前心电图均未出现异常表现,TACE治疗后有14(12.93%)例患者心电图异常,所有患者均经对症治疗后复查心电图恢复正常.对可能影响患者心电图的相关因素进行分析,其中患者肿瘤直径≥10 cm、术中碘油用量≥10 m L、血压升高、肝功能分级较差、术后体温≥38℃等因素与心电图异常有关,差异具有统计学意义(P<0.05).结论:经肝动脉化疗栓塞术会导致患者术后发生心肌损害、心肌缺血而发生心电图异常因此临床应当加强对心电的监测,降低心肌并发症的发生率.
AIM： To observe electrocardiogram（ECG） changes after transcatheter arterial chemoembolization（TACE） in patients with primary liver cancer and analyze the influencing factors. METHODS： One hundred and eight primary liver cancer patients treated from January 2012 to January 2014 at the Hainan Medical College Hospital were included. All the patients underwent TACE treatment, and 12-lead ECG was performed in all the patients before and after surgery.RESULTS： No patients had ECG abnormalities before TACE, while 14（12.93%） patients had ECG abnormalities after TACE therapy. After symptomatic treatment, their electrocardiogram returned to normal. Tumor diameter ≥ 10 cm, intraoperative lipiodol dosage ≥ 10 m L, high blood pressure, poor liver function, and postoperative temperature ≥ 38 ℃ were identified to be related with ECG abnormalities（P〈0.05）.CONCLUSION： TACE can cause cardiac injury, myocardial ischemia and ECG abnormalities in patients with primary liver cancer, and ECG monitoring should be strengthened in these patients to reduce the incidence of cardiac complications.
出处
《世界华人消化杂志》
CAS
2015年第3期462-465,共4页
World Chinese Journal of Digestology
关键词
原发性肝癌
经肝动脉化疗栓塞术
心电图变化
Primary liver cancer
Transcatheter arterial chemoembolization
ECG changes
