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目的对儿童心电图表现有右束支传导阻滞图形者进行临床分析,为临床诊治提供参考。方法结合门诊及住院各项辅助检查等资料,对2014年在成都市第一人民医院和四川大学华西第二医院进行心电图检查出现右束支阻滞患儿的年龄分布、病因分布及合并其他阻滞情况行统计分析。结果儿童不完全右束支阻滞和完全右束支阻滞在年龄分布上差异有统计学意义(P<0.05)。儿童不完全右束支阻滞病例来源主要为先天性房间隔缺损患儿(38.85%),其次为先天性室间隔缺损经介入封堵术后患儿(30.77%);完全右束支阻滞病例来源主要为室间隔缺损封堵术后患儿(占42.11%)。不完全右束支阻滞和完全右束支阻滞主要以单纯束支阻滞图形为主(占73.15%),其次为合并左前分支阻滞(占22.15%)。结论正常儿童心电图可出现不完全右束支传导阻滞,但若出现完全右束支阻滞多合并心脏或肺部疾患,应结合其他临床辅助检查结果进一步诊治。
Objective To analyze the clinical manifestations of right bundle branch block (ECG) in children with electrocardiogram, and provide a reference for clinical diagnosis and treatment. Methods Based on the outpatient and inpatient auxiliary examinations, the age distribution, etiological distribution and other resistances of children with right bundle branch block in the First People’s Hospital of Chengdu and Huaxi No.2 Hospital of Sichuan University in 2014 were analyzed. Lack of statistical analysis of stagnation. Results There was a significant difference in age distribution between incomplete right bundle branch block and complete right bundle branch block in children (P <0.05). Children with incomplete right bundle branch block mainly originated from children with congenital atrial septal defect (38.85%), followed by congenital ventricular septal defect after interventional closure (30.77%). Complete right bundle branch block The main source of cases was postoperative ventricular septal defect closure (42.11%). Incomplete right bundle branch block and complete right bundle branch block were mainly simple bundle branch block pattern (73.15%), followed by combined left anterior branch block (22.15%). Conclusion In normal children’s ECG, incomplete right bundle branch block may appear. However, if there is more complete right bundle branch block with heart or lung disease, further clinical diagnosis and treatment should be combined with other clinical assistant test results.