摘要
目的:分析急性肺栓塞患者在临床诊断中应用心电图检查的临床价值。方法:选取2021年1月~2023年12月滨州市第二人民医院疑似急性肺栓塞患者148例作为观察对象,所有患者均接受心电图和超声心动图检查,以肺动脉造影检查结果为参考,分析患者检查结果。结果:148例患者经肺动脉造影诊断106例为急性肺栓塞,42例排除急性肺栓塞,心电图检查78例为阳性,18例为阴性,超声心动图检查75例为阳性,15例为阴性,联合检查96例为阳性,36例为阴性,联合检查灵敏度、特异度、准确度分别为90.57%、85.71%、89.19%,联合检查灵敏度、特异度、准确度均高于单一心电图检查、超声心动图(P<0.05)。结论:心电图在急性肺栓塞诊断中具有非常高的应用价值,但是为进一步确保诊断准确率,可以采取心电图和超声心动图检查,为医生诊断提供更多参考意见。
Objective:To analyze the clinical value of electrocardiogram in the clinical diagnosis of acute pulmonary embolism.Methods:A total of 148 patients with suspected acute Pulmonary embolism in Binzhou Second People’s Hospital from January 2021 to December 2023 were selected as the observation objects.All the patients received electrocardiogram and echocardiography,and computed tomography angiography was used.CTPA examination results were used as reference to analyze the examination results of patients.Results:Among 148 patients,106 cases were diagnosed as acute pulmonary embolism by pulmonary angiography,42 cases were excluded from acute pulmonary embolism,78 cases were positive by electrocardiogram,18 cases were negative,75 cases were positive by echocardiography,15 cases were negative,96 cases were positive by combined examination,and 36 cases were negative.The sensitivity,specificity and accuracy of combined examination were 90.57%,85.71%and 89.19%,respectively.The sensitivity,specificity and accuracy of combined examination were higher than those of single electrocardiogram and echocardiography(P<0.05).Conclusion:Electrocardiogram has a very high application value in the diagnosis of acute pulmonary embolism,but in order to further ensure the diagnostic accuracy,ECG and echocardiography can be used to provide more references for doctors.
作者
尹希燕
YIN Xi-yan(Department of Geriatrics,the Second People’s Hospital of Binzhou City,Shandong Binzhou 256800)
出处
《中国医疗器械信息》
2025年第17期99-101,共3页
China Medical Device Information
关键词
心电图检查
急性肺栓塞
心血管疾病
影像学检查
electrocardiogram examination
acute pulmonary embolism
cardiovascular diseases
imaging examination
