儿童宽QRS心动过速体表12导联心电图分析  

The analysis of ECG of wide QRS tachycardia in children

作　　者：张励兵[1] 袁越[1] 王兰菊[1] 罗世芹[1] 汪丹[1] 贾羽[1] 刘晓惠[1] 

机构地区：[1]首都医科大学附属北京儿童医院心脏中心,北京100045

出　　处：《现代生物医学进展》2010年第21期4058-4061,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨儿童宽QRS心动过速的心电图特点。方法:对2006-2009年首都医科大学附属北京儿童医院57例17岁以下宽QRS心动过速儿童心电图分析。结果:儿童宽QRS心动过速以室性心动过速最常见,且多具特异的心电图表现,易引起血流动力学改变。婴幼儿多见室上性心动过速伴室内差异性传导。结论:体表12导联心电图(ECG)是临床诊断宽QRS心动过速的最主要方法;Brugada四步法是鉴别诊断的方法之一。Objective：To discuss the characteristics of electrocardiogram（ECG） of wide QRS tachycardia of children.Method：Analyse 57 cases of wide QRS tachycardia ECG.The cases were collected from the year of 2006 to 2009,from children under 17 and from Beijing Children’s Hospital,which is an affiliated hospital of the Capital Medical University.Result：Ventricular tachycardia is of the highest percentage in children’s wide QRS tachycardia in the cases studied.Ventricular tachycardia is often connected with abnormal ECG and generally results in changes in dynamics of blood flow.It is noticed that supraventricular tachycardia is usually combined with ventricular difference in conduction in the cases of infants.Conclusion：ECG is the main technique to diagnose wide QRS tachycardia;the four-steps of Brugada is one of the methods.

关 键 词：儿童 心电图 宽QRS心动过速 

分 类 号：R444[医药卫生—诊断学]