双腔右心室患儿临床心电图100例分析  

Analysis of electrocardiogram in 100 patients with double chamber right ventricle

作　　者：丁文虹[1] 韩玲[1] 金梅[1] 吴邦骏[1] 王霄芳[1] 王磊[1] 

机构地区：[1]首都医科大学附属北京安贞医院

出　　处：《中华儿科杂志》1999年第7期434-436,共3页Chinese Journal of Pediatrics

摘　　要：目的提高双腔右心室的临床诊断水平。方法对１９８６年１月～１９９６年１２月间，经手术证实为双腔右心室的１００例患儿的心电图进行分析。结果电轴右偏４９例（４９％），右室肥厚４５例（４５％），ＴＶ３Ｒ，ＴＶ１直立６４例（６４％），双向２７例（２７％），其中Ｖ１导联Ｒ／Ｓ＜１且Ｔ波直立３１例（３１％），双向１０例（１０％）。结论临床如有该病可疑体征，而超声心动图未明确诊断者应结合心电图：（１）电轴右偏；（２）右室肥厚或双室肥厚；（３）与年龄不符的ＴＶ３Ｒ，ＴＶ１直立，Ｖ３Ｒ，Ｖ１导联Ｒ／Ｓ＜１而Ｔ波直立，或ＴＶ３Ｒ，ＴＶ１双向等表现者应进行超声复查，必要时行右心导管及造影检查，以减少误诊，提高手术成功率。Objective To improve the diagnosis level of the double chamber right ventricle (DCRV) Methods Electrocardiogram (ECG) data were analyzed in 100 cases with DCRV confirmed by surgical operation in Beijing Anzhen Hospital during the period of January 1986 to December 1996 Results Fortynine patients (49%) showed right axis and 45 (45%) right ventricle hypertrophy (RVH); 64 cases (64%) had upright T waves and 27 cases (27%) twoway T waves in lead V3R and V1 Upright T waves were revealed in 31 cases (31%) with R/S <1 in lead V1, 10 (10%) twoway Conclusion Patients with suspected symptoms of DCRV and without definite diagnosis by ultrasonic cardiogram (UCG), with special findings in ECG, such as right axis, RVH or double ventricle hypertrophy, upright TV3R, TV1 not matching with the patients age, upright TV3R, TV1 with R/S <1, or twoway TV3R, TV1 should be suggested to repeat the examination of UCG, if necessary to be checked by the cardiac catheterization and angiocardiography, which would help reduce clinical pitfalls and to make operations more successful

关 键 词：儿童 右室双出口 心电图 超声心动图 

分 类 号：R725.4[医药卫生—儿科]