摘要
目的:探讨急性肺栓塞后的心电图改变及其临床意义。方法:对临床确诊为急性肺栓塞的11例患者心电图进行回顾性分析,所有患者均多次作心电图、并检查CT肺血管造影(CTPA)。结果:ECG:10人不正常,1人正常。窦速5例,QⅢTⅢ3例,典型的SI QⅢTⅢ型1例、SI≈0.3mv,不完全性RBBB 1例,III av F异常Q波伴T波倒置2例,V1-4导联T波倒置1例,V1-5导联T波倒置4例,V1-6导联T波倒置1例,II III av F V1-5 ST段压低0.05mv 1例,V1-4 V3R-5R导联ST段抬高<0.1mv 1例,"肺型P"波1例,房颤1例,电轴右偏1例。CTPA示:左、右肺动脉栓塞各1例,双肺动脉栓塞9例。结论:急性肺栓塞心电图改变是非特异性的,但如能紧密结合临床,仔细观察心电图典型、不典型或轻微改变对筛选急性肺栓塞是有帮助的。
Objective: To discuss the changes and clinical meaning of Electrocardiography( ECG)diagnostic analysis in patients with acute pulmonary embolism( APE). Methods: Retrospective analysis of the features of ECG changes made in 11 APE patients who had been done CT pneumoangiography( CTPA) and ECG for many times. Results: One patient was normal and ten wasn't. There was sinus tachycardia in 5 cases,qⅢ TⅢ pattern in 3 cases,tipical SI QⅢ TⅢ pattern in 1 case,SI≈0. 3mv,incomplete right bundle branch block( RBBB) in 1 case,III av F abnormal Q inversion in 2 case,V1- 4 leading T inversion in 1 case,V1- 5 leading Tinversion in 4 cases,V1- 6 leading T inversion in1 case,II III av F V1- 5 leading ST depression of 0. 05 mv in 1 case,V1- 4 V3R- 5R leading ST elevation < 0. 1mv in 1 case,P pulmonary in 1 case,atrial fibrillation in 1 case,right axis deviation in1 case. CTPA shows that left pulmonary embolism in 1 case,so does the right,and double pulmonary embolism in 9 cases. Conclusions: Although the ECG in the patientswith the APE are unspecific and various,combining it with clinical practice and examining the tipical or minor signs could help access and screen APE.
出处
《内蒙古医科大学学报》
2015年第S1期221-224,231,共5页
Journal of Inner Mongolia Medical University
基金
内蒙古教育厅高等学校科学研究项目(NJZY11119)
