心电图诊断中若干问题探讨(附1280例心电图分析)  

Exploring Some Problems on the Diagnosis or Electrocardiogram: 1280 cases of Electrocardiogram analysis

作　　者：李国佩[1] 岑凯怡[1] 

机构地区：[1]湛江中心人民医院(广东省湛江市),524037

出　　处：《齐齐哈尔医学院学报》2001年第2期128-128,130,共2页Journal of Qiqihar Medical University

摘　　要：目的加深心电图工作者和临床医师对心电图诊断中易犯的几个错误的认识，为临床诊断提供更准确、更可靠的依据。方法抽查 １２８０份住院病人心电图结果报告资料进行分析。结果诊断为“正常或大致正常”的有７１３例，诊断为“心律失常”的有２３４例，诊断为“心肌梗死”的有８７例，诊断为“房室扩大”的有７３例，诊断为“电解质异常”的有５９例，诊断为“心肌缺血或劳损”的有３８７例，以上诊断均有不同程度误诊。结论心电图误诊有人为因素，也有其应用原理上的客观局限性。Objective To Deepen the cognition of electrocardiogram operator and clinical physicians on several errors easy making in electrocardiogram diagnosis, offering the accuracy and reliable accordance for clinical diagnosis. Methods 1280 cases of in - patients electrocardiogram were analyzed. Results 713 cases were diagnosed as normal or approximate normal, 234 cases as arrhythmia, 87 cases as myocardial infection. 73 cases as atrium and ventricle enlarging, 59 cases as electrolyte abnormality, 387 cases as myocardial ischemia or strain. All above have been misdiagnosed in some degree. Conclusions Besides artificial factors, electrocardiogram misdiagnosis has its impersonal limit in appliance theory.

关 键 词：心电图 诊断 

分 类 号：R540.41[医药卫生—心血管疾病]