持续ST段抬高病因分析  

Cause Analysis of Continuous ST-segment Elevation

作　　者：李雪[1] 

机构地区：[1]河南省新乡市新乡医学院第五附属医院干部病房,453000

出　　处：《中国卫生标准管理》2016年第4期41-43,共3页China Health Standard Management

摘　　要：目的探讨心电图持续ST段抬高患者的检查结果,进行病因分析。方法选取心电图持续的ST段抬高的患者25例,分别给予心电图、心肌酶、超声心动图、冠脉造影(CAG),心肌核素、心脏核磁等检查,并对结果进行统计学分析。结果心电图持续的ST段抬高的病因有多种,并非都为冠心病,急性心肌梗死。行心电图、心肌酶、超声心动图、冠脉造影(CAG),心肌核素、心脏核磁等检查,可对冠脉血管及心包、心肌等病变进行评价,有助于明确诊断。结论对于胸痛症状不典型,心动图呈持续性ST段抬高的患者,应完善相关检查,详细分析病因,不可盲目诊断急性心肌梗塞,行不必要的溶栓治疗。Objective To discuss ECG ST-segment elevation in patients with test results and cause analysis. Methods Selected ECG showed 25 patients with persistent ST-segment elevation,were given ECG,cardiac enzymes,echocardiography,coronary angiography（CAG）,myocardial perfusion,cardiac magnetic resonance imaging and other tests,and the results were statistically analyzed. Results ECG showed persistent ST-segment elevation causes varied,not all of coronary heart disease and acute myocardial infarction. Electrocardiogram,cardiac enzymes,echocardiography,coronary angiography（CAG）,myocardial perfusion,cardiac magnetic resonance imaging and other tests,the coronary blood vessels and pericardium,myocardium lesions were evaluated,helped confirm the diagnosis. Conclusion For atypical chest pain,echocardiography showed patients with persistent ST-segment elevation,should improve the relevant examination,a detailed analysis of the cause. Can not be blindly diagnosis of acute myocardial infarction,for unnecessary thrombolytic therapy.

关 键 词：心脏 持续ST段抬高 超声心动图 核磁共振 

分 类 号：R541.4[医药卫生—心血管疾病]