论文部分内容阅读
目的:探讨急性肺栓塞患者早期心电图的变化情况。方法:研究时期为2013年8月至2016年12月,共选择患者77例,经临床确诊均为急性肺栓塞。在患者入院早期为其提供心电图检查,记录患者心电图的异常变化情况。结果:77例患者中发生心电图异常改变者共96.10%(74/77),其中20例(25.97%)患者具有Ⅰ导联S波振幅增加、Ⅲ导联T波倒置、Ⅲ导联Q波倒置;典型室上性心动过速者共52例,占比67.53%;V1-5倒置振幅增加高于V4者共13例(16.88%);电轴向右侧偏移者共23例,占比29.87%。结论:急性肺栓塞患者早期使用心电图检测后数据特异性较差,但由于该检测操作简便,可重复性较强,因此可作为临床诊断的重要参考指标。
Objective: To investigate the changes of early electrocardiogram in patients with acute pulmonary embolism. Methods: The study period from August 2013 to December 2016, a total of 77 patients were selected, the clinical diagnosis of acute pulmonary embolism. In patients with early admission to provide ECG, recording the abnormal changes in patients with ECG. Results: Of the 77 patients, 96.10% (74/77) had abnormal electrocardiogram changes. Among them, 20 cases (25.97%) had an increase of S wave amplitude of lead Ⅰ, inverted T wave of Ⅲ lead, inverted Q wave of Ⅲ lead ; A total of 52 cases of typical supraventricular tachycardia, accounting for 67.53%; V1-5 inverted amplitude increased higher than V4 in a total of 13 cases (16.88%); axial shift to the right side of a total of 23 cases, accounting for 29.87%. Conclusion: The data of ECG in the early stage after acute pulmonary embolism were poorly specific. However, this method can be used as an important reference in clinical diagnosis because of its simple and convenient operation and high repeatability.