Challan Belval A, Chéron A, Floccard B, Lienhart A-S, Allaouchiche B
Service d'anesthésie-réanimation, pavillon G, hôpital Edouard-Herriot, hospices civils de Lyon, 5 place d'Arsonval, Lyon cedex 03, France.
Ann Fr Anesth Reanim. 2010 Feb;29(2):159-61. doi: 10.1016/j.annfar.2009.10.020. Epub 2010 Jan 13.
Acute pancreatitis is frequently associated with electrocardiographic abnormalities, including arrhythmias and repolarization. We briefly describe a male patient with a severe acute pancreatitis who presented several bradycardias during his hospitalization in our intensive care unit. The aim of this case report is to underline the probability of severe arrhythmias during acute pancreatitis, which can increase morbidity of this pathology. Despite many publications or reports, causes of increased EKG abnormalities during severe pancreatitis remained unclear and are probably multifactorial. To prevent accidents or complications, patients with severe acute pancreatitis should have a continuous EKG monitoring.
急性胰腺炎常伴有心电图异常，包括心律失常和复极异常。我们简要描述一名患有严重急性胰腺炎的男性患者，他在重症监护病房住院期间出现了几次心动过缓。本病例报告的目的是强调急性胰腺炎期间发生严重心律失常的可能性，这会增加该疾病的发病率。尽管有许多出版物或报告，但重症胰腺炎期间心电图异常增加的原因仍不清楚，可能是多因素的。为预防意外或并发症，重症急性胰腺炎患者应进行持续心电图监测。
