儿童心肌炎常规及动态心电图分析  

Analysis of route electroocardiogram and dynamic electrocardiogram in childhood myocarditis

作　　者：余芳[1] 唐诗韵[1] 舒佳[1] 

机构地区：[1]成都中医药大学附属医院功能科,四川成都610072

出　　处：《中国医刊》2014年第2期31-33,共3页Chinese Journal of Medicine

摘　　要：目的 探讨动态心电图（DCG）与常规心电图（ECG）对儿童心肌炎诊断的差异及临床意义.方法 对疑似心肌炎的患儿在做常规12导同步ECG的同时加做24小时12导联DCG,进行对比分析.结果 DCG与ECG各种心律失常及ST-T异常的阳性率分别为69.1%及17.6%,两者具有显著性差异（χ2=89.1,P＜0.01）.所有检测患儿中心肌酶学异常者占49.1%.结论 DCG对儿童心肌炎的诊断、治疗及预后具有重要参考价值.Objective To explore the difference and clinical significance of ECG and DCG in diagnosis of viral myo- carditis in children. Method Retrospective analysis of 12-lead ECG and 24-hour 12-lead DCG performed in the sus- picious cases of viral myocarditis. Result Positive rate of various arrhythmia and ST-T abnormality shown in 12-lead ECG and 24-hour 12-lead DCG were 69. 1% and 17.6% respectively with significant difference （X2= 89. 1, P〈 0.01）. 49.1% of cases had abnormal cardiac isoenzymes. Conclusion DCG has important reference value in the diagnosis, treatment and prognosis judgment of viral myocarditis in children.

关 键 词：心肌炎 心电图 心律失常 动态心电图 儿童 

分 类 号：R541[医药卫生—心血管疾病]