主动脉夹层285例心电图分析  

The Clinic Analysis of 285 Cases with Aortic Dissection

作　　者：王惠歆[1] 陈发东[2] 李景霞[1] 张新刚[1] 沈洪[3] 

机构地区：[1]复旦大学附属中山医院心电图室,上海200032 [2]复旦大学附属中山医院心内科,上海200032 [3]复旦大学附属中山医院急诊科,上海200032

出　　处：《中国临床医学》2010年第2期259-261,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:通过回顾分析主动脉夹层(AD)患者的临床资料,重点分析心电图改变,以期发现早期诊断的依据。方法:对2003年1月—2008年6月285例主动脉夹层患者的临床资料,包括一般资料及心电图资料进行回顾分析。结果:正常心电图在AD的DebakeyIII型多见(55.6%);心肌梗死心电图改变出现在I、II型,III型无。结论:AD的心电图表现非特异性,但改变主要出现在I、II型患者。其异常心电图是造成主动脉夹层分离患者误诊的原因之一。Objective：We analyzed retrospectively clinical data of patients with aortic dissection,specially focused on ECG changes to reveal its relevance. Methods：A total 285 consecutive patients with aortic dissection from January 2003 to June 2008 at our institution were reviewed,including general data and ECG data. Results：ECGs of DeBakey type Ⅲ usually showed normal（55.6%）; Performance of myocardial infarction ECGs were only found in Debakey typeⅠand typeⅡ. Conclusions：ECGs of AD have no Specificity,ECGs of DeBakey typeⅠand typeⅡ perform various changes abnomal ECGs of AD is one of reasons for misdiagnosis.

关 键 词：主动脉夹层 心电图 

分 类 号：R540.41[医药卫生—心血管疾病]