社区医院应用网络化心电系统的临床意义  

Clinical significance of networked ECG system applied in community

作　　者：李晓霞 杨玲伶[1] 蔡高军[2] Li Xiao- xia;Yang Ling-ling;Cai Gao-jun(Department of Electrocardiogram,Wujin Hospital Affiliated to Jiangsu University, Changzhou Jiangsu 213100, China;Department of Cardiology,Wujin Hospital Affiliated to Jiangsu University, Changzhou Jiangsu 213100, China)

机构地区：[1]江苏大学附属武进医院心电图室,江苏常州213100 [2]江苏大学附属武进医院心内科,江苏常州213100

出　　处：《实用心电学杂志》2016年第3期165-166,192,共3页Journal of Practical Electrocardiology

摘　　要：目的探讨社区医院应用网络化心电系统的临床意义。方法社区医院基层心电医生筛选需要会诊的心电图或疑难心电图,利用网络化心电系统将心电信息上传到我院心电网络会诊中心。我院心电会诊中心的专职医师对心电图图谱进行会诊,会诊结果反馈回社区医院。结果本研究共收集到心电图378份,共发现异常心电图213例,可能发生恶性事件的心电图29例。经分析发现漏诊184例(48.68%)、误诊45例(11.90%)。结论网络化心电系统的应用使社区医院能够及时发现危重心电图,纠正漏诊和误诊,减少恶性心脏事件的发生;同时,解决了基层心电医生诊断力量薄弱的问题,完善了社区医院的医疗服务功能,取得了良好成效。Objective To discuss the clinical significance of networked ECG system applied in community. Methods Primary care doctors of community health center screen out the ECGs which require to be consulted or difficult ones, and upload these ECG data to ECG network in our hospital by networked ECG system. Our full-time clinicians of consultation center consult on those ECGs and provide feedback to community health center. Results A total of 378 strips of ECGs were collected in our study among which 213 cases were abnormal and 29 were possibly prone to develop malignant cardiovascular events. The missed diagnosis was made in 184 cases (48.6 8 % ) and misdiagnosis in 45 ones (11.90%). Conclusion The application of networked ECG system in community health center helps in finding critical ECGs timely, correcting misdiagnosis or missed diagnosis and reducing the occurrence of malignant cardiac events. At the same time, it solves the problem of the weak diagnostic ability of primary ECG physicians and improves the medical service of community health center, with favorable results achieved.

关 键 词：网络化心电系统 心电会诊 心电图 

分 类 号：R540.41[医药卫生—心血管疾病]