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心电图和心音图检查,对克山病的诊断,治疗预防,特别是抢救方面具有很大价值。因为克山病是急性和慢性心力衰竭及心律紊乱为主要特征。临床诊断方面,目前存在重要的问题之一是,克山病地区身体健康检查时(克山病普查时),听诊上心尖部发现Ⅱ级收缩期杂音者,往往误诊为克山病患者不在少数。因此有必要鉴别功能性收缩期杂音及克山病引起的器质性收缩期杂音。我们为了解决这个问题,对克山病患者进行了临床检查、X线检查、心电图及心音图检查,并提出了作者的看法及初步讨论意见,为今后本病的防治工作参考。
ECG and phonocardiogram examination, Keshan disease diagnosis, treatment prevention, especially in the rescue has great value. Because Keshan disease is acute and chronic heart failure and heart rhythm disorders as the main feature. Clinical diagnosis, there are currently one of the important issues is that when Keshan disease physical examination (Keshan disease census), auscultation of the apical symphysis found Ⅱ grade, often misdiagnosed as Keshan disease is not a minority . It is necessary to identify functional systolic murmur and Keshan disease caused by organic systolic murmur. In order to solve this problem, we conducted clinical examination, X-ray examination, ECG and phonocardiogram examination on Keshan disease patients, and put forward the author’s opinions and preliminary discussion opinions for future reference of prevention and treatment of this disease.