摘要
目的:了解和探讨暴发性心肌炎的心电图改变与临床特征。方法:观察6例心肌酶学异常增高近6~13倍,心电图出现急性心肌梗塞时的坏死性Q波、ST段损伤型改变、ST-T呈单向曲线、“墓碑型”改变,合并各种严重心律失常患者的心电图及临床表现。结果:6例均出现窦性心动过速和心律失常,4例死亡前均表现为左心功能不全。结论:暴发性心肌炎发病急骤,病情险恶,病死率高。但如能及早确诊,病情可得到控制,患者有望获救成功。
Objective:To discuss and understand the changes of electrocardiogram(ECG) and clinical manifestations of Fulminant myocarditis. Method :The clinical data and ECG figures of 6 patients were sutdied. In all patients ,the plasma levels of myocardial enzyme increased by 6-13 times abnormally and ECG showed necrotic Q,injury type change of ST segment,unldirectional cruve ST-T change and grave stone type change which likes those with acute myocardial infarction. Various kinds of cardia arrhythmias were also found in these patients. Results:Six patients were all sinus tachycardia and cardiac arrhythmias,four patients were all lefe heart insufficiency before death. Conclusion:The mortality of fulminant myocarditis is very high, but it can be controled if confirmed diagnosis could be made early.
出处
《中国误诊学杂志》
CAS
2005年第9期1618-1619,共2页
Chinese Journal of Misdiagnostics