摘要
目的:分析心电图改变在肺栓塞诊断中的作用,讨论肺栓塞的心电图诊断要点。方法:选择2000年至2007年在我院就诊的30名患者,分析其临床表现和心电图变化。结果:心电图改变者28例(93.3%),其中窦性心动过速11例(36.7%),早搏18例(60.0%),心房颤动4例(13.3%),肺性P波6例(20.0%),SⅠQⅢTⅢ现象6例(26.7%),完全性右束支传导阻滞11例(36.7%),不完全性右束支传导阻滞5例(16.7%)。结论:通过对心电图的变化分析,结合临床表现,对诊断肺栓塞有一定价值,在基层单位尤其实用。
Objective: To study the characteristics and role of ECG in the diagnosis pulmonary embol- ism. Methods:Retrospective analysis of ECG changes in admission and after treatment was made in 30 patients with acute pulmonary embolism from 2000 to 2007. Results: ECG changes were found in 93.3% of the above patients. The changes of sinus tachycardia was 36.7%, premature beating was 60.0%, atrial fibrillation was 13.3%, P pulmonale was 20.0%, the S1QⅢTⅢ syndrome was 26.7%, completely right Bundle branch block(crBBB) was 36.7%, incompletely right Bundle branch block(irBBB) was 16.7%. Conclusion: Analysis of ECG in patients are valuable in diagnosing acute pulmonary embolism.
出处
《河北医学》
CAS
2008年第11期1328-1330,共3页
Hebei Medicine
关键词
肺栓塞
心电图
诊断
Pulmonary embolism
Electrocardiogram
Diagnosis