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世界核心医学期刊文摘（胃肠病学分册） 2006年第2期2卷 53-54页

作者： Rubio-Tapia A. Garca-Leiva j. Asensio-lafuente E. 赵菊辉 Department of Gastroenterology Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubir n Vasco de Quiroga 15 Tlalpan 14000 Distrito Federal Mexico Dr.

Background: Electrocardiographic abnormalities may be associated with acute pancreatitis (AP). Goals: To describe the electrocardiographic disturbances present in patients with AP and to assess differences in electrolyte and pancreatic enzyme levels among patients with and without these abnormalities. Study: Fifty-one consecutive patients with AP and without pre-existing heart disease underwent a standard 12-lead electrocardiogram (EKG) and a serum electrolyte profile. EKG abnormalities were summarized in terms of frequencies,means, and standard deviations. Electrolyte and enzyme levels were summarized as medians. Differences were analyzed using the Mann-Whitney U test. Results: Twenty-eight patients (55% ) had an abnormal EKG. Non specific changes of repolarization (20% ), sinus tachycardia (12% ), and left anterior hemiblock (10% ) were the most frequent disturbances. Patients with sinus tachycardia had lower levels of phosphorus (2.3 vs. 3.4 mEq/L, P < 0.004) and calcium (8.4 vs. 9.1 mg/dL, P < 0.02). A tendency to higher levels of potassium and lower levels of phosphorus was found in patients with sinus tachycardia and nonspecific changes of repolarization, respectively. No differences were found in amylase, pancreatic amylase, or lipase among patients with normal and abnormal EKG. Conclusions: More than 50% of the patients with AP had EKG abnormalities, and these changes could be related to electrolyte alterations.

关键词：心电图异常窦性心动过速复极化高血钾心脏病史血电解质酶水平血磷统计分析特异性

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