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目的深入探讨肺栓塞心电图改变的及其临床意义。方法选取我院2012年11月至2014年10月期间收治的30例肺栓塞患者为研究对象,通过回顾性分析的方式对其心电图资料进行分析,所有患者均作多次心电图并CT肺血管造影。结果经过资料整合,所有患者均出现心电图改变,治疗前心电图变化主要表现为高度顺钟向转位、V_(1-3T)波倒置、电轴右偏、心动过速等;经肝素钠和中药活血化瘀的系统治疗后,患者心电图以ST改变、右束支传导阻滞、典型S_1Q_(III)T_(III)、心动过速较为显著。结论通过正确的方式把握肺栓塞患者的心电图变化,对于患者的诊治有重要的临床意义。
Objective To investigate the changes of electrocardiogram in pulmonary embolism and its clinical significance. Methods Thirty patients with pulmonary embolism admitted from November 2012 to October 2014 in our hospital were enrolled in this study. The ECG data were analyzed retrospectively. All the patients underwent electrocardiogram and CT pulmonary angiography . Results After data integration, all patients showed ECG changes. The changes of electrocardiogram before treatment mainly showed high clockwise shift, V_ (1-3T) wave inversion, right axis deviation and tachycardia. The heparin sodium and Chinese herbs After systemic therapy of activating blood circulation and removing blood stasis, electrocardiogram was changed to ST, right bundle branch block, typical S_1Q_ (III) T_ (III) and tachycardia were significant. Conclusion Correct ECG changes in patients with pulmonary embolism have important clinical significance for the diagnosis and treatment of patients.