摘要
目的探究ST段抬高型心肌梗死超急性期的心电图特点。方法选择2014年12月至2015年2月来我院治疗的ST段抬高型心肌梗死超急性期患者40例为本试验的探究对象,全部患者采取3通道18导联心电图与心电图相关仪器记录患者的相关指标,然后对患者的冠状动脉进行造影,分析患者心电图特征。结果在探究对象中,有20例ST段抬高患者,30例T波高尖增宽患者,有10例缺血性J波患者,有18例急性损伤阻滞患者。其中无J波组患者的引发心率失常机率明显低于J波组患者,两组比较差异具有统计学意义(P<0.05)。结论在临床的诊断上,应当分析患者的心电图,及时地探究超急性期ST段抬高型心梗死心电图的特征,对于早期确诊心梗死患者、减少误诊的机率、患者的引发心率失常机率有重大意义,值得医疗界应用与推广。
Objective To investigate the electrocardiographic characteristics in the super acute period of ST- elevation myocardial infarction. Methods A total of 40 patients who were in the super acute period of ST-elevation myocardial infarction and treated in our hospital from December 2014 to February 2015 were enrolled as study subjects. The 12-lead 3-channel electrocardiography and related devices were used to record related parameters, and coronary arteriography was performed for all the patients, to analyze the characteristics of electrocardiographic findings. Results Among all the patients, 20 had ST segment elevation, 30 had peak and broadened T wave, 10 had ischemic J wave, and 18 had acute injury block. The patients without J wave had a significantly lower probability of arrhythmia than those with J wave （P〈0.05）. Conclusion In clinical diagnosis, electrocardiographic findings should be analyzed to investigate electrocardiographic characteristics in patients in the super acute period of ST-elevation myocardial infarction, which has a significant value in diagnosing myocardial infarction in the early stage and reducing the probabilities of misdiagnosis and arrhythmia and holds promise for clinical application.
出处
《心血管病防治知识（学术版）》
2016年第4期35-37,共3页
Prevention and Treatment of Cardiovascular Disease
关键词
心肌梗死
超急性期
心电图
Myocardial infarction
Super acute period
Electrocardiographic findings
