常规导联与头胸导联在急性右心室梗死心电图诊断中的对比研究  

COMPARATIVE STUDY ON THE CLINICAL VALUES OF CONVENTIONAL LEADS AND HEAD-CHEST LEAD IN THE DIAGNOSIS OF ACUTE RIGHT VENTRICULAR INFARCTION THROUGH ELECTROCARDIOGRAM

作　　者：宋燕 

机构地区：[1]沂水中心医院,山东临沂276400

出　　处：《山东医学高等专科学校学报》2015年第2期143-145,共3页Journal of Shandong Medical College

摘　　要：目的探讨常规导联与头胸导联诊断急性右心室梗死心电图的应用价值,为提高急性右心室梗死的诊断准确性提供理论依据。方法选择2013年1月~2014年1月接受治疗的急性右心室梗死患者56例为研究组,另选择同期接受体检的健康者56例作为对照组,两组患者均应用常规导联与头胸导联进行诊断,对比两种心电图诊断的准确率和假阳性率。结果常规导联对急性右心室梗死诊断准确率为83.93%,假阳性率为21.43%;头胸导联的诊断准确率为94.64%,假阳性率为0%,头胸导联诊断显著优于常规导联,差异有统计学意义（P〈0.05）。结论头胸导联诊断急性右心室梗死心电图可以提高诊断准确率,降低假阳性率,对指导临床治疗有重要价值。Objective To explore the application value of routine lead and head-chest lead in the diagnosis of acute right ventricular infarction through electrocardiogram and .Methods 56 cases of acute right ven-tricular infarction treated in our hospital from January ,2013 to January were chosen to form the study group ,and another 56 healthy people formed the control group .Both groups underwent the diagnoses of conventional lead and head-chest lead through electrocardiogram ,and the accuracy rate and the false posi-tive rate were compared between the methods .Results The accuracy rate and the false positive rate in the routine lead diagnosis of acute right ventricular infarction were 83 .93% and 21 .43% respectively .The ac-curacy rate and the false positive rate in the head-chest lead diagnosis of acute right ventricular infarction were 94 .64% and 0% respectively （ P 〈 0 .05） .Conclusion The head-chest lead diagnosis of acute right ventricular infarction through electrocardiogram can improve the accuracy rate and reduce the false positive rate .

关 键 词：常规导联 头胸导联 急性右心室梗死心 

分 类 号：R540.41[医药卫生—心血管疾病]