ECG诊断左前分支传导阻滞100例VCG分析  

VCG analysis in 100 cases with conduction block in left forearm diagnosed by ECG

作　　者：吕培生[1] 袁园[1] 左振亭[2] 郭燕辉[3] 

机构地区：[1]郑州大学第一附属医院心内科,郑州450052 [2]郑州大学第一附属医院放射科,郑州450052 [3]郑州大学科研处,郑州450052

出　　处：《郑州大学学报（医学版）》2005年第2期354-356,共3页Journal of Zhengzhou University(Medical Sciences)

摘　　要：目的:探讨心电向量图(VCG)诊断左前分支传导阻滞(LAFB)的准确性及临床应用价值。方法:选择心 电图(ECG)诊断为LAFB的住院患者100例,其中男63例,女37例,年龄12～78岁。对其进行VCG检查。结果: 100例中符合VCGLAFB诊断标准者78例,排除22例。检出心肌呈缺血型改变76例,左心室肥大19例,下壁心肌 梗死9例,LAFB合并下壁心肌梗死7例,不完全左束支传导阻滞5例。同一患者可同时存在多种诊断。结论:VCG 诊断LAFB优于ECG。Aim: To ascertain the diagnostic accuracy and clinical efficacy of vector-cardiography(VCG) for diagnosing conduction block in left forearm(LAFB).Methods: A total of 100 patients diagnosed as LAFB by ECG were subjected to perform VCG.The patients included 63 males and 37 females,aging 12~78 years.Results: Only 78 of patients were confirmed as having LAFB complaint.Out of the 78 patients,76 cases were diagnosed as myocardial-ischemia-induced deformation,19 cases as left ventricular hypertrophy,9 cases as myocardial infarction in the lower wall,7 cases as complication of LAFB with myocardial infarction in the lower wall,and 5 cases as incomplete conduction block in left arm.Some suffered from more than one complaint.Conclusion: VCG is superior to ECG in diagnosis of LAFB.

关 键 词：心肌梗死 左前分支传导阻滞 心电图 心电向量图 

分 类 号：R540.42[医药卫生—心血管疾病]