心前区不适患儿常规及动态心电图分析  

Analysis of routine electrocardiogram and dynamic electrocardiogram in children with precordial distress

作　　者：余芳[1] 舒佳[1] 钟丹[1] 

机构地区：[1]成都中医药大学附属医院,610072

出　　处：《实用心电学杂志》2009年第4期255-256,共2页Journal of Practical Electrocardiology

摘　　要：目的探讨心前区不适患儿常规及动态心电图(DCG)改变的差异。方法对有心前区不适前来就诊的患儿,在作常规12导联同步心电图的同时,加作24h12导联DCG,进行对比分析。结果DCG与常规心电图各种心律失常及ST-T异常的阳性率分别为68.8%及14.1%,两者具有非常显著性差异(X2=9.28,P<0.01)。两种检查结果显示异常的患儿中心肌酶学异常者占30%。结论DCG是心前区不适患儿有效的检测方法。Objective Explore the difference between routine ECG and dynamic electrocardiogram in children with preeordial distress. Methods 12 - lead ECG and 24 - hour 12 - lead dynamic electrocardiogram were done simultaneously in the children presented with preeordial distress. The results were compared. Results Positive rate of various arrhythmias and abnormal ST - T segment detected by dynamic electrocardiogram and routine ECG were 68.8% and 14. 1% respectively（ P 〈 0.01 ）. 30% patients with abnormal ratine ECG and dynamic electrocardiogram got abnormal myocardial enzyme. Conclusion Dynamic Electrocardiography was an effective way to detect children with precordial distress.

关 键 词：心前区不适 心电图 动态心电图 心肌酶 

分 类 号：R540.41[医药卫生—心血管疾病]