急性肺栓塞患者早期心電圖觀察

[摘要] 目的 研究肺栓塞患者早期心電圖，討論肺栓塞患者心電圖的臨床特征以及診斷要點，提高患者在臨床中的診斷準確率。 方法 回顧性分析自2008年1月～2009年12月滄州市中心醫院經過臨床確診的53例肺栓塞患者，對所有患者的臨床資料進行統計學分析，對患者進行心電圖檢測，觀察患者的心電圖特征。 結果 共有52例患者心電圖檢測出現異常，其中32例患者出現室上性心動過速主要表現為房速、快心室率的房撲、房顫等臨床癥狀，另有8例患者出現房性早搏現象，V_1～3導聯T波倒置深度大于V₄的患者12例，V₁與Ⅲ出現T波倒置的患者22例，右束支傳導阻滯完全性及不完全性個8例，順時鐘向轉位16例，肺性P波6例。 結論 通過對肺栓塞患者進行心電圖檢測，能夠更好的了解患者的病情狀態，方便了患者的臨床治療，對于肺栓塞患者的臨床診斷和治療具有重要意義。

[關鍵詞] 肺栓塞；心電圖；臨床分析

[中圖分類號] R563.5；R445 [文獻標識碼] B [文章編號] 2095-0616（2012）21-190-02

Early observation of ECG in patients with acute pulmonary embolism

CHEN Fang1 CHEN Lan2

1.Examination Room of ECG， Cangzhou Central Hospital of Hebei province， Cangzhou 061000， China；2.Hebei Sixth People's Hospital， Baoding 071000， China

[Abstract] Objective To study the early electrocardiogram of pulmonary embolism patients and discuss the clinical characteristics and diagnosis points of pulmonary embolism electrocardiogram， improved the diagnosis precision in the clinical diagnosis. Methods Retrospective analysis of 53 patients which were diagnosed as pulmonary embolism in author’s hospital from January 2008 to December 2009， all patients were took clinical data for statistical analysis， had the electrocardiogram test and observed the electrocardiogram characteristics of patients. Results The electrical diagram of 52 patients with pulmonary embolism appeared electrocardiographic abnormality， 32 patients appeared the supraventricular tachycardia， the main shows were atrial tachycardia， atrial flutter， atrial fibrillation， etc. Another 8 patients appeared atrial premature beats， the T wave Inverted depth of 12 cases of V_1～3 was greater than V₄，there were 22 cases appeared T wave Inverted depth of V₁ and Ⅲ， there were 8 cases appeared right bundle branch block/immaturity right bundle branch block， there were 16 cases appeared clockwise to inversion， there were 6 appeared P-pulmonale. Conclusion through the pulmonary embolism patients electrocardiogram detection， can better understand the condition of patients， so it is convenient to the clinical treatment for patients， and have a great significance to the clinical diagnosis and treatment of patients with pulmonary embolism.

[Key words] Pulmonary embolism； Electrocardiogram； Clinical analysis

近年來肺栓塞患者在臨床中逐漸的增多，并且患病患者的年輕化趨勢也在逐漸的上升，給患者及其家屬帶來嚴重的損傷[1]。在近年的研究過程中中發現，肺栓塞患者的肺部栓塞可造成，患者的心臟功能出現異常，因此患者的臨床癥狀具有多樣性、復雜性、嚴重性、等特點，很難做到及時迅速的對患者做出正確的檢測。而對于心臟血液循環的具體過程而研制出的心電圖檢測，在很大程度上解決了這一問題，該方法不僅操作簡單，而且可重復進行試驗，通過觀察患者的心電圖特征即可判斷患者的病癥，因此筆者主要利用對肺栓塞患者的心電圖進行分析，觀察肺栓塞患者早期心電圖的臨床特征，以便提高患者在臨床中的診斷準確率。……