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从单次心电图鉴别急性心包炎与过早复极的正常变异很为困难,往往需要随访心电图演变和结合临床才能作出鉴别.本文旨在评价现有鉴别标准的诊断可靠性以及检验作者制订的新鉴别标准.方法:39例患者分为两组.甲组为19例心包炎,其中7例为特发性,5例为外伤性,2例为心包切除术后.2例为转移性肺癌,2例为自家免疫疾病,1例为慢性肾功能衰竭.乙组为20例是典型过早复极化的正常变异.除测定PR段是以TP段作为基线外,所有测量均以PR段终末作为基线.计算P波、PR段、QRS、ST段和T波的额面和横面的
It is very difficult to identify the normal variation of acute pericarditis and premature repolarization from single electrocardiogram, and it is often necessary to follow up the evolution of electrocardiogram and combine with clinical ability to make identification.This paper aims to evaluate the diagnostic reliability of the existing identification criteria and the new Methods: 39 patients were divided into two groups, 19 cases of pericarditis in group A, 7 cases were idiopathic, 5 cases were traumatic, 2 cases were treated by pericardiocutaneous resection, 2 cases were metastatic lung cancer, 2 cases of autoimmune diseases and 1 case of chronic renal failure, and 20 cases of group B were typical normal premature repolarization changes.In addition to the determination of PR segment is based on the TP segment as the baseline, all the measurements were in the end of the PR segment As the baseline, calculate the P wave, PR segment, QRS, ST segment and T wave frontal and transverse