摘要
目的:探讨急性重症病毒性心肌炎和AMI的临床及心电图特征。方法:选取2010年1月至2017年12月我院急性重症病毒性心肌炎患者31例(观察组),ST段抬高型急性心肌梗死62例(对照组),收集两组临床及心电图特征资料。结果:观察组发病前1周有感染史高于对照组(P<0.05),胸痛比例低于对照组(P<0.05);观察组CK、CK-MB和c Tn I峰值低于对照组(P<0.05);观察组心电图呈Ⅲ度房室传导阻滞和异常Q波的比例高于对照组(P<0.05);观察组和对照组WBC、PLT、ALT、AST、BUN和Scr比较差异无统计学意义(P>0.05)。结论:部分急性重症病毒性心肌炎与AMI较难区别,诊断时应结合病史、临床表现及心电图资料,必要时行急诊冠状动脉造影诊断。
Objective： To explore the clinical and ECG characteristics of acute severe viral myocarditis and AMI. Methods： Between January 2010 and December 2017, selected from 31 patients with acute severe viral myocarditis（observation group）, and ST-elevation acute myocardial infarction 62 cases （control group）, two groups of clinical and ECG characteristic information collection. Results： The incidence of infection in the observation group was higher than that in the control group （P〈O.05）, and the proportion of chest pain was lower than that in the control group（P〈O.05）; The peaks of CK, CK-MB and cTnl in the observation group were lower than those in the control group （P 〈0.05）. ECG in observation group Ⅲ degree atrioventricular block and the proportion of abnormal Q wave higher than the control group （P〈0.05）; There was no statistically significant difference in WBC, PLT, ALT, AST, BUN and Scr in the observation group and control group （P〈0.05）. Conclusion： Some acute severe viral myocarditis and AMI are difficult to distinguish. The diagnosis should be combined with medical history, clinical manifestations and ECG data, and the diagnosis of emergency coronary angiography should be performed.
作者
陈源
CHEN Yuan(Guangxi Qinzhou First People＇s Hospital,the ECG,Guangxi 535099,China)
出处
《影像技术》
CAS
2018年第6期14-15,共2页
Image Technology
