1536例骨折心电图分析  

1536 cases of fracture ECG analysis

作　　者：欧阳佳琴[1] 邹仁妹[1] 李江洁[1] 

机构地区：[1]常州市中医医院心功能科,江苏常州213000

出　　处：《实用心电学杂志》2011年第2期102-104,共3页Journal of Practical Electrocardiology

摘　　要：目的观察骨折患者心电图改变的特点。方法对1536例因骨折就医者的心电图进行回顾性分析。结果①446例患者心电图异常,总发生率29%。异常心电图为476例,其中心律失常223例(占46.8%);ST-T改变182例(占38.2%);左室肥厚伴继发性ST-T改变18例(占3.8%);左室高电压40例(占8.4%):其他占2.6%。②联合伤(两处以上骨折)心电图异常发生率最高,其次为头颈部、胸腹部及四肢。③20岁以下、21～44岁、41～60岁、61岁以上患者心电图异常率,分别为12.7%、16.5%、31.8%、71.4%。61岁以上者心电图异常率(71.4%),高于60岁以下者(20.3%),两者比较差异有统计学意义(P<0.05),异常心电图的发生率有随年龄增长而增加的趋势。结论骨折所致的应激反应在一定程度上可体现为心电图改变,心电图异常与损伤部位及伤情、年龄及自身状况有一定的关系。Objective To observe the ECG （electrocardiogram） change characteristics of fracture patients. Methods Made retrospective 1536 cases of fracture ECG analysis. Results （1） 446 fracture patients had abnormal electrocardiogram, total incidence rate is 29%. The abnormal electrocardiogram had 476 records, among which 223 records appeared cardiac arrhythmia （ accounted for 46.8% ）, 128 records appeared ST-T change （ accounted for 38.2% ）, 18 records appeared LVH （ Left Ventricular Hypertrophy） with consequental ST-T change, 40 records appeared left ventricular high voltage （accounted for 8.4% ） while others accounted for 2.6%. （2） The combined injury patients （ fractured over two places） showed the highest occurrence rates of abnormal ECG, secondly it is head and neck, chest and abdomen and limb. （3） The abnormal ECG rate of the patients whose age is under 20, 20 - 44, 41 - 60 and over 61 is 12.7%, 16. 5%, 31. 8% and 71.4 %, respectively. The abnormal ECG rate of the patients whose age over 61 is 71.4%, and the abnormal ECG rate of the patients whose age over 60 is 20. 3 %, there was obvious difference in age between two groups （ P 〈 0.05 ）, the occurrence rate of abnormal ECG increases with the growing age. Conclusion The stress reaction caused by the fracture can be showed as ECG change, the abnormal ECG is relative with the injury site, state of injury, age and patient＇s condition to a certain extent.

关 键 词：骨折 应激反应 心电图 

分 类 号：R541.9[医药卫生—心血管疾病]