肺栓塞的心电图改变及临床诊断价值  

Changes of Electrocardiogram and Its Significance in Patients with Pulmonary Embolism

作　　者：胡亚红[1] 阎绍静[1] 王云雁[1] 

机构地区：[1]昆明医学院第三附属医院,650118

出　　处：《青海医药杂志》2010年第11期4-5,共2页Qinghai Medical Journal

摘　　要：目的：探讨肺栓塞的心电图改变及临床诊断价值。方法：对我院87例确诊肺栓塞患者的心电图分解为13项对其进行回顾性分析。结果：87份心电图,正常12份占14%,异常75份占86%,顺钟向转位、窦性心动过速、心电轴右偏48%-57%,RaVR振幅增高伴ST段抬高24%。SⅠQⅢTⅢ、ST段及胸导联图形改变7%-28%。结论：肺栓塞心电图改变是非特异性、非诊断性和有价值的,正确应用有助于肺栓塞的诊断。Objective：To observe ECG changes of patients with pulmonary embolism.Methods：Available data of ECG,myocardial enzyme and troponin（including 13 items changes） were analyzed statistically in 87 patients with pulmonary embolism source from our hospital between Jan.2005 and Sept.2010.Results：The cases of normal ECG and abnormal ECG was 12（14 percent） and 75（86 percent）,respectively.48%～57% cases had clockwise transposition,sinus tachycardia and Heart right axis deviation on ECG;24% showed increase of RaVR amplitude with ST-segment elevation.7%～28% had changed on SⅠQⅢTⅢ,ST segment and chest leads graphics.Conclusions：Nonspecific,non-diagnostic and valuable changes of ECG were main feature in patients with pulmonary embolism,and they would be helpful for diagnosis of pulmonary embolism if those can be use correctly.

关 键 词：肺栓塞 心电图 

分 类 号：R563.5[医药卫生—呼吸系统] R540.41[医药卫生—内科学]