常规心电图检查操作指南(简版)  

Guidelines for the operation of routine ECG examination(simplified version)

作　　者：郭继鸿[1] 王思让[2] 谭学瑞[3] 张海澄[1] 方丕华[4] 卢喜烈[2] 朱金秀[3] Expert Group of “Guidelines for the operation of routine ECG examination”

机构地区：[1]北京大学人民医院 [2]解放军总医院第一医学中心 [3]汕头大学医学院第一附属医院 [4]中国医学科学院阜外心血管病医院

出　　处：《实用心电学杂志》2019年第1期1-6,共6页Journal of Practical Electrocardiology

摘　　要：心电图作为临床最常见的诊断工具之一,应用范围不断扩大,现已成为"血、尿、便、影像学、心电图"五大常规检查之一,特别是对某些心血管疾病如:慢性缺血性心脏病、急性冠脉综合征、心肌炎、心包炎、肺栓塞以及心律失常等有确诊价值。此外,心电图在遗传性离子通道疾病、心脏结构异常、电解质紊乱等的诊断中也具有重要的辅助价值。同时,心电图也被用于监测抗心律失常药物应用的疗效以及致心律失常情况、评估术前风险、筛查从事高危职业或特殊职业人群等。因此,准确记录和精确分析心电图至关重要。随着数字化技术快速引入,数字化心电图机的性能得到了极大改进,但旧式机型并未完全退出市场,给心电图操作规范化的推进带来困扰。常规心电图检查应由心电图相关专业技术人员完成,规范化操作是获得质量合格心电图的前提,也是正确做出心电图诊断的基础。常规心电图检查操作指南适用于心电图相关专业技术人员。As one of the most commonly seen diagnostic tools in clinic, ECG has been applied in more and more fields. It has qualified to become one of the five major routine examinations(blood, urine, stool, imaging, ECG) at present. Especially on some cardiovascular diseases such as chronic ischemic heart disease, acute coronary syndrome, myocarditis, pericarditis, pulmonary embolism and arrhythmia, ECG could make a definite diagnosis. In addition, ECG also plays an important auxiliary role in the diagnosis of hereditary ion channel disease, cardiac structural abnormality, electrolyte disturbances, and so on. Meanwhile, the application of ECG also extends to monitor the curative effect of antiarrhythmic drugs and arrhythmic conditions, make preoperative risk evaluation, and screen the population with high-risk or special occupation. Therefore, to accurately record and analyze ECG is of great concern. With the rapid introduction of digital technology, the performance of digital electrocardiograph has been greatly improved. However, old model has not yet been completely out of the market, which haunts the normalized operation of ECG examination. Routine ECG examination should be performed by ECG related professional and technical personnel. Normalized operation is a prerequisite for acquiring quality qualified ECGs, and also lays a foundation for making correct ECG diagnosis.“Guidelines for the operation of routine ECG examination” is suitable for ECG related professional and technical personnel.

关 键 词：心电图 适应证 心电图描记 操作指南 

分 类 号：R540.4[医药卫生—心血管疾病]