心电图在急性肺栓塞中的应用进展  

Application of electrocardiogram in acute pulmonary embolism

作　　者：胡圣[1] 薛金红[1] 张成[1] 李美佳 申静静 杜新平[1] Hu Sheng;Xue Jin-hong;Zhang Cheng;Li Mei-jia;Shen Jing-jing;Du Xin-ping(Department of Cardiology,Tianjin Fifth Central Hospital,Tianjin 300450,China)

机构地区：[1]天津市第五中心医院心血管内科,天津300450

出　　处：《中国急救医学》2020年第3期274-276,F0003,共4页Chinese Journal of Critical Care Medicine

摘　　要：急性肺栓塞(APE)是住院患者第三位的致死原因,仅次于中风和急性冠脉综合征.同时APE的预后迥异,其中大约11%的患者表现为猝死.因此,如何识别高危患者并给予相应的治疗措施,对改善预后至关重要.本文对近期心电图在APE中的应用进展进行综述,重点探讨心电图在APE危险分层及预后中的应用.Acute pulmonary embolism(APE)is the third cause of death in hospitalized patients and is second only to stroke and acute coronary syndrome.At the same time,the prognosis of APE is quite different.About 11%of the patients present sudden death.Therefore,identifying high-risk patients and giving appropriate treatment measures is very important to improve the prognosis.This article reviews the recent progress of electrocardiogram in the application of APE,and focuses on the application of electrocardiogram in risk stratification and prognosis of APE.

关 键 词：急性肺栓塞(APE) 右心功能不全(RVD) 危险分层 预后 

分 类 号：R563.5[医药卫生—呼吸系统]