18导联心电图诊断急性正后壁心梗的价值  

To explore the value of 18-lead electrocardiogram in the diagnosis of acute anterior posterior myocardial infarction

作　　者：江春花 林榕 Jiang chunhua;Lin rong(Electrocardiogram Room,Hanjiang Hospital,Putian City,Fujian Province,351111,China)

机构地区：[1]福建省莆田市涵江医院,351111

出　　处：《临床心电学杂志》2021年第4期254-256,共3页Journal of Clinical Electrocardiology

摘　　要：目的探讨急性正后壁心肌梗死应用18导联心电图诊断的临床价值。方法于本院收治的急性心肌梗死患者中筛选72例作为本次研究对象,72例患者均行常规12导联心电图及18导联心电图检查,以实验室及影像学检查结果为参考,判断两种方法的诊断价值。结果综合考虑影像学检查结果及实验室结果判断本次72例患者中急性正后壁心肌梗死30例,其他类型心肌梗死42例;18导联心电图急性正后壁心梗及其他类型心梗检出率高于12导联心电图(p>0.05)。结论急性正后壁心肌梗死应用18导联心电图检查可获得准确诊断效果,同时建议联合临床症状表现及心肌酶谱检测共同判定疾病情况,降低误诊率和漏诊率,为临床提供更为可靠的诊断依据。Objective To explore the clinical value of 18-lead electrocardiogram(18-lead ECG) in the diagnosis of acute myocardial infarction. Methods Seventy-two patients with acute myocardial infarction in our hospital were selected as the object of this study. All 72 patients underwent routine ECG(12-lead ECG) and 18-lead ECG. The diagnostic value of the two methods was judged with the laboratory and imaging results as reference.Results Considering the results of imaging examination and laboratory results, 30 cases of acute anterior posterior myocardial infarction and 42 cases of other types of myocardial infarction were judged the detection rate of acute myocardial infarction and other types of myocardial infarction in 18-lead ECG was higher than that in 12-lead ECG(p >0.05). Conclusions The 18-lead ECG examination can obtain accurate diagnosis effect for acute myocardial infarction, and it is suggested to combine clinical symptoms and myocardial enzyme spectrum detection to determine the disease condition, reduce the misdiagnosis rate and missed diagnosis rate, and provide more reliable diagnosis basis for clinic.

关 键 词：急性正后壁心肌梗死 18导联心电图 诊断价值 

分 类 号：R541.7[医药卫生—心血管疾病] R540.41[医药卫生—内科学]