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脑膜炎中心脏功能的无创评估

Non-invasive assessment of cardiac function in meningitis.

作者信息

Brubakk O

出版信息

Acta Med Scand. 1979;205(1-2):67-72. doi: 10.1111/j.0954-6820.1979.tb06005.x.

DOI:10.1111/j.0954-6820.1979.tb06005.x
PMID:760406
Abstract

Non-invasive registration of systolic time intervals (STI) and ECG were used in evaluating cardiac function in 12 patients with bacterial and 16 with viral meningitis. On admission, 14 (50%) of the patients had abnormal STI. The preejection period (PEP) was prolonged in 11 patients, while left ventricular ejection time (LVET) was prolonged in two and shortened in four. The PEP/LVET index was increased in eight patients. At discharge PEP was still prolonged in eight patients; seven of these were from the viral meningitis group. LVET increased significantly (p less than 0.02) from the first to the last registration. In the patients with abnormal PEP and PEP/LVET on admission, there was a significant fall (p less than 0.05 and p = 0.02, respectively) to discharge. There was no difference in STI between the patients with viral or bacterial meningitis. Eighteen (64%) of the patients had abnormal STI on one or more registration. ST-T changes in ECG and prolongation of the Q-T interval were found in three patients. Cardiac affection in meningitis seems to occur more often than can be shown by ECG.

摘要

采用无创性收缩期时间间期(STI)和心电图记录对12例细菌性脑膜炎患者及16例病毒性脑膜炎患者的心功能进行评估。入院时,14例(50%)患者的STI异常。11例患者的射血前期(PEP)延长,2例患者的左心室射血时间(LVET)延长,4例患者的LVET缩短。8例患者的PEP/LVET指数升高。出院时,8例患者的PEP仍延长;其中7例来自病毒性脑膜炎组。从首次记录到最后一次记录,LVET显著增加(p<0.02)。入院时PEP和PEP/LVET异常的患者,到出院时显著下降(分别为p<0.05和p = 0.02)。病毒性或细菌性脑膜炎患者的STI无差异。18例(64%)患者在一次或多次记录中有STI异常。3例患者出现心电图ST-T改变及Q-T间期延长。脑膜炎患者的心脏受累似乎比心电图显示的更为常见。

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