摘要
目的探讨心电图危急值的临床应用。方法分析我院2012年1月至2013年8月报告的190例心电图危急值结果及临床处理措施,总结心电图危急值报告在临床的应用价值。结果此期间共出心电图报告46962例,危急值报告190例,危急值报告率0.40%,其中门诊患者71例,住院患者119例,报告全心停搏54例,窦性停搏22例,显著性窦性心动过缓19例,心房颤动伴长间歇5例,高度及以上房室阻滞9例,阵发性室上性心动过速20例,室性心动过速4例,心室颤动1例,心房颤动伴快速心室反应5例,窦性心动过速3例,急性心肌梗死/急性心肌缺血30例,QTc>0.50s有18例。结论按照心电图危急值制度对临床科室及时反馈,能够使临床医生在最短的时间内了解患者的检查结果,并进行相应的处理,降低了医疗的风险性,为临床提供了帮助。
Objective To investigate the clinical application of ECG critical values. Methods 190 cases of critical value of ECG findings and clinical treatment measures in our hospital from January 2012 to August 2013 were reported, summarizing the clinical value of the ECG in critical value reporting. Results A total of 46962 cases were reported ECG, Critical value report was190 cases, The rate of critical value report was 0.40%, of which 71 cases were outpatients, 119 cases were inpatients, 54 cases were cardiac arrest, 22 cases were sinus arrest, 19 cases were significantly sinus bradycardia, 5 cases were atrial fibrillation with a long interval, 9 cases were high grade or complete atrioventricular block, 20 cases were paroxysmal supraventricular tachycardia, cases were ventricular tachycardia,cases were ventricular fibrillation, cases were atrial fibrillation with rapid heart rate, cases were sinus tachycardia, 30 cases were acute myocardial infarction/acute myocardial ischemia and 18 cases were QTc〉0.50 s. Conclusions Based on electrocardiogram critical value of clinical departments and timely feedback system, enabling clinicians to understand the patient＇s test results in the shortest time and to make the appropriate treatment, reducing the risk of health care, providing clinical help.
出处
《临床心电学杂志》
2014年第6期420-423,共4页
Journal of Clinical Electrocardiology
关键词
心电图危急值
临床应用
electrocardiogram critical value
clinical application
