| 吴娟 王军 朱海龙 张毅 梁夷.急性肺栓塞的心电图表现特点分析[J].,2015,15(20):3879-3881 |
| 急性肺栓塞的心电图表现特点分析 |
| The Significance and Role in the Diagnosis of AcutePulmonary Embolism ECG Analysis |
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| DOI： |
| 中文关键词: 急性肺栓塞 心电图 诊断 临床意义 |
| 英文关键词: Acute pulmonary embolism Electrocardiogram Diagnosis Clinical significance |
| 基金项目:国家自然科学基金项目(30570809) |
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| 中文摘要: |
| 目的：探讨急性肺栓塞的心电图表现特点，提高急性肺栓塞的诊断水平。方法：选取我院急诊收治的急性肺栓塞患者79 例，
进行床旁心电图多次动态检测，观察急性肺栓塞患者心电图的基本特点，分析心电图对急性肺栓塞的临床诊断意义。结果：在79
例患者中，发生心电图改变者72 例(91.14%)，其中窦性心动过速者63 例(79.74%)，为最常见的心电图改变；Ⅰ导联S 波较深者51
例(64.56%)；Tv1-v3倒置者45 例(56.96%)；Tv1-v2倒置者31 例(39.24%)；右束支传导阻滞改变者27 例(34.17%)；Tv1-v4倒置者18 例
(22.78%)。典型的肺栓塞SⅠQⅢTⅢ心电图表现少见，仅14 例(17.72%)，而心电图表现为QⅢTⅢ者49 例(62.02%)。结论：急性肺
栓塞的心电图改变具有非特异性和复杂多变性，临床医生应将心电图检查结果作为诊断依据之一，仍需结合患者的临床表现，进
行综合分析判断，再给予合理诊断及时治疗，以改善急性肺栓塞患者的预后。 |
| 英文摘要: |
| Objective:To investigate the electrocardiogram characteristics of acute pulmonary embolism and improve the
diagnostic level of acute pulmonary embolism.Methods:79 patients with acute pulmonary embolism admitted in the emergency
department of our hospital were selected and dynamically tested by the bedside ECG for many times, the basic characteristics of
electrocardiogram in patients with acute pulmonary embolism were observed, and the clinical and diagnostic significance of
electrocardiogram for the acute pulmonary embolism was analyzed.Results:In 79 cases of patients with acute pulmonary embolism,
changes of electrocardiogram were observed in 72 cases(91.14%), including 63 cases (79.74%) of sinus tachycardia which was the most
common change of ECG, 51 cases (64.56%) with deep Lead ⅠS waves, 45 cases (56.96%) of Tv1-v3 inversion, 31 cases (39.24%) of
Tv1-v2 inversion, 27 cases (34.17%) of right bundle branch block change, 18 cases (22.78%) of Tv1-v4 inversion, Typical pulmonary
embolism SⅠQⅢTⅢ ECG findings was relatively rare, including only 14 cases (17.72%), and electrocardiogramcharacterized by QⅢT
Ⅲ was observed in 49 cases (62.02%).Conclusion:The ECG changes of acute pulmonary embolismhad nonspecificity and complicated
variety, clinicians should closely combine the clinical manifestation with comprehensive analysis and judgment, attach great importance
to the risk factors, avoid electrocardiogramdiagnosis error, and improve the clinical diagnostic value. |
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