心电图ST段压低对急性肺栓塞栓塞面积诊断价值  

Diagnostic value of st-segment depression in embolization area of acute pulmonary embolism patient

作　　者：樊玲[1] 谭成波[2] 殷慧[1] 

机构地区：[1]成都军区总医院心电图室,四川成都610083 [2]成都军区总医院心血管内科,四川成都610083

出　　处：《现代仪器与医疗》2015年第5期103-104,110,共3页Modern Instruments & Medical Treatment

摘　　要：目的:分析急性肺栓塞(APE)患者心电图ST段压低情况,探讨其与栓塞面积相关性。方法:选择128例APE患者为研究对象,按照是否出现ST段压低分组,分析两组患者栓塞面积、死亡率等指标的差异。结果 :128例APE患者中,有72例患者出现心电图ST段压低,发生率为56.25%,较大面积组的a VF、V2、V6导联ST段压低发生率高于小面积组(P<0.05),大面积组的Ⅲ、a VL、a VF、V1、V6导联ST段压低发生率高于小面积组(P<0.05),大面积组Ⅲ、a VL、V1、V2导联的ST段压低发生率高于较大面积组(P<0.05)。ST段压低组与非压低组比较,休克发生率为4.05%vs3.7%,死亡率为8.11%vs0%,压低组死亡率高于非压低组,组间比较差异有统计学意义。结论 :APE患者心电图ST段压低发生率高,不同栓塞面积患者的ST段压低发生率和心电图表现有差异,ST段压低APE患者病情严重程度较高。Objective： Analysis st-segment depression in acute pulmonary embolism patients. Methods：128 patients with APE were selected as the research object, grouped according to st-segment depression . Results： 72 cases of patients with st-segment depression, the occurrence rate was 56.25%, the middle area group of AVF, V2 and V6 Leads st-segment depression occurrence rate is higher than the small area group （P 〈 0.05）, the largest area group III, AVL, AVF, v1, V6 st-segment depression occurrence rate is higher than the small area group （P 〈 0.05）, the largest area group III, AVL, lead V1 and V2 of st-segment depression occurrence rate is higher than that of the middle group （P 〈 0.05）. The incidence of shock was 4.05%vs3.7%,the mortality was 8.11%vs0%, the mortality of the depression group was higher than that of the without depression group. Conclusions： APE patients ECG st-segment depression occurred at a higher rate, area of different embolism in patients with st-segment depression occurred rate and electrocardiogram manifestations are different, st- segment depression in patients with disease severity.

关 键 词：急性肺栓塞 心电图 ST段压低 

分 类 号：R540.4[医药卫生—心血管疾病]