53例急性肺栓塞心电图分析  

Electrocardiographic analysis of 53 patients with acute pulmonary embolism

作　　者：陈晓敏[1] 

机构地区：[1]江苏大学附属医院,镇江212001

出　　处：《实用心电学杂志》2011年第1期27-29,共3页Journal of Practical Electrocardiology

摘　　要：目的分析和总结肺栓塞时的心电图特点及其在急性肺栓塞的诊断与鉴别诊断中的应用。方法回顾性分析6年来我院确诊的53例急性肺栓塞患者住院期间的心电图表现并对每位患者治疗前后的心电图形进行对比。结果 53例患者中,出现心电图改变者占98.14%,窦性心动过速最多占77.35%,其次是ST-T改变(ST段改变占64.15%,T波改变占62.26%),典型SⅠQⅢTⅢ征者占22.64%,肺型P波占7.55%,完全性或不完全性右束支阻滞的占18.87%,aVR导联出现终末R波占28.30%。经溶栓抗凝治疗后,比对原有心电图上述项目皆发生了动态变化过程。结论心电图对于提示肺栓塞的诊断有一定的临床价值重大意义。Objective To analyse and summarize the characteristics and application of electrocardlograhy in diagnesis and differential diagnosis of acute pulmonary embolism. Methods The 53 cases with pulmonary embolism confirmed in our hospital in the past 6 years cboesed for analyzing the electrocardiogram and comparing respectively its features prior to the treatment with those posterior to the treatment. Results The ratio of electrocardiographic changes in the patients with pulmonary embolism reached to 98.14%, in which nodal tachycardia ECG was the most common（accounted for 77.35% ） and ST-T changes ECG was followed（ST change was 64. 15% and T change was 62.26% ）. The cases with typical features of SI QII TIII occupied 22.64%, peaked P wave 7.55%, right branch block 18.87%, R wave to the end in aVR lead 28.30%. Compared with the original electrocardiograrns, the dynamic changes in the above items occurred after the patients accepted thromlolytic and anticoagulant therapy. Conclusion Although the sensitivity and speciality of every feature is not good enough to diagnosis or differential diagnosis, dynamic observation of ECG is of great significance to the diagnosis of pulmonary embolism.

关 键 词：急性 肺栓塞 心电图 

分 类 号：R540.41[医药卫生—心血管疾病]