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作 者:郭望英[1] 章慧洁[1] 程硕韬[1] 郭跃萍[1]
机构地区:[1]广东省深圳市孙逸仙心血管医院
出 处:《中国临床药理学与治疗学》2012年第6期644-647,共4页Chinese Journal of Clinical Pharmacology and Therapeutics
基 金:广东省深圳市科技计划项目基金资助(200702009)
摘 要:目的:探讨电话网络心电模式在社区基础医疗的应用效果。方法:对社区医院的142例有心脏不适症状而普通心电图多次检查均正常的患者进行电话网络心电监测(TTM)1056次,通过电话和网络传送心电信息至本院心脏监测中心,专职人员分析、诊断和出具报告,指导患者用药和治疗。结果:142例患者中发现早期心肌梗死心电图改变者1例,缺血型ST-T改变者16例,阵发性室上速22例,阵发性房颤12例,间歇性预激综合症8例,房性早搏和(或)室性早搏35例,6例安装永久起搏器和14例冠状动脉支架置入(PCI)术后患者TTM监测无新的异常出现,28例未见异常。结论:TTM监测能及时将平时心电图、Holter等难以捕捉的心电信息记录下来,为临床诊断和治疗提供有效依据,为患者提供早期诊断心脏病的检查手段。AIM: To observe the effect on the application in electrocardiographic mode of pub- lic switched telephone network in community health service centers. METHODS: For commu- nity hospital for cardiac monitoring sub-station 142 cases of patients with cardiac discomfort symptoms and normal results of ordinary electrocardiogram received ECG monitoring of public switched telephone network 1056 times, doctor was going to analysis, diagnose electrocardio- gram and issue a report to guide patients and treatment when information of electrocardiogram were transmitted to hospital central computer. RESULTS:In these 142 cases, 1 case was found early myocardial infarction electrocardiogram changes, and 16 cases were found ischemic ST-- T changes, 22 cases were found paroxysmal su- praventricular tachycardia, and 12 cases were found Paroxysmal atrial fibrillation, and 8 cases were found Intermittent pre-excitation syn-drome, and 35 cases were found atrial premature and (or) ventricular premature,6 cases who had installed permanent pacemaker and 14 cases of patients after coronary artery stent placement did not found new ECG abnormality,28 cases did not found any ECG abnormality. CONCLUSION: Through the ECG monitoring of public switched telephone network can prompt capture the ab- normal ECG,to be normal ECG, holter ECG information hard to capture record,provide a valid basis for clinical diagnosis and treatment, to provide early diagnosis of patients with heart disease detection methods.
分 类 号:R54[医药卫生—心血管疾病]
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