12导联频谱心电图检查在爆发型病毒性心肌炎诊断中的应用  

作　　者：王鹤成 

机构地区：[1]河北省邯郸市馆陶县人民医院内科,河北057750

出　　处：《当代医学》2016年第15期30-31,共2页Contemporary Medicine

摘　　要：目的分析12导联频谱心电图(FCG)检查在爆发型病毒性心肌炎诊断中的临床应用价值。方法选取拟诊爆发型病毒性心肌炎120例,采用Wilson连接方式,分别做心电图和频谱心电图,并对检测结果进行分析。结果 120例病例中,54例拒绝行心肌、心内膜或心包(活检或病理)或心包穿刺检查。诊断检出率55%。12导联心电图异常者79例(65.8%);12导联频谱心电图异常者99例(82.5%);心电图和频谱心电图同时异常者69例(57.5%)。12导联频谱心电图的检出率大于12导联心电图。12导联频谱心电图发现室性期前收缩37例;房性期前收缩29例;交界性期前收缩7例,I度房室传导阻滞8例;Ⅱ度I型房室传导阻滞6例;Ⅱ度Ⅱ型房室传导阻滞4例;心肌缺血8例,其中前壁异常2例、下壁异常3例、AVF区异常3例,而12导联心电图并未发现。结论 12导联频谱心电图对爆发型病毒性心肌炎的早期诊断比心电图更敏感,可避免部分心肌炎的误诊,值得临床推广。Objective Analysis of 12 lead spectrum ECG examination in the diagnosis of viral myocarditis clinical application value. Methods Select treated type outbreak of viral myocarditis in 120 cases, connected by Wilson, ECG and spectrum ECG respectively, and the testing results were analyzed. Results 120 cases, of 12-lead electrocardiogram was abnormal in 79 （65.8%）. 12 lead ECG spectrum was abnormal in 99 （82.5%）. Electrocardiogram （ECG） and spectrum ECG abnormal in 69 （57.5%） at the same time. 12 lead ECG spectrum is greater than 12 lead ECG abnormal rate （P〈0.05）. And 12 lead ECG spectrum found contracts before sexual period 37 cases, housing contracts before sexual period, 29 cases border contracts before sexual period 7 cases, 8 cases I degree atrioventricular block, II degree atrioventricular block 6 cases of type I, type Ⅱ Ⅱ degree atrioventricular block 4 cases. Anterior wall myocardial ischemia 8 cases, of which 2 cases, the wall anomaly 3 cases of abnormal, AVF area in 3 patients, and 12-lead electrocardiogram was not found. Conclusion 12 lead ECG spectrum of eruption type electrocardiogram （ECG） is more sensitive than the early diagnosis of viral myocarditis, can avoid some misdiagnosis diagnosis of myocarditis, worth clinical promotion.

关 键 词：心电图 频谱心电图 爆发型病毒性心肌炎 

分 类 号：R542.21[医药卫生—心血管疾病]