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目的:探讨主动脉夹层(AD)患者的心电图改变情况,为临床诊断提供依据。方法:对我院2005年2月-2012年3月收治的180例主动脉夹层患者的临床资料(包括一般资料及心电图资料)进行回顾性分析。结果:正常心电图在AD的Debakey Ⅲ型患者较多见(55.6%),心肌梗死患者的心电图改变出现在Ⅰ、Ⅱ型,Ⅲ型无。结论:AD患者的心电图表现为非特异性,但改变主要出现在Ⅰ、Ⅱ型患者,其异常心电图是造成主动脉夹层分离患者误诊的原因之一。
Objective: To investigate the changes of electrocardiogram in patients with aortic dissection (AD) and provide the basis for clinical diagnosis. Methods: The clinical data (including general information and electrocardiogram data) of 180 patients with aortic dissection who were treated in our hospital from February 2005 to March 2012 were analyzed retrospectively. Results: Debakey Ⅲ patients with normal ECG were more common in AD (55.6%), and ECG changes in patients with myocardial infarction were in type Ⅰ, Ⅱ and Ⅲ. Conclusion: The electrocardiogram of AD patients shows nonspecificity, but the changes mainly appear in type Ⅰ and type Ⅱ patients. The abnormal electrocardiogram is one of the causes of misdiagnosis in patients with aortic dissection.