12导联心电图对手足口病的辅助诊断

Auxiliary Diagnostic Value of 12 Lead ECG in Hand,Foot and Mouth Disease

目的探讨手足口病(HFMD)普通型与重型的心电图表现的异同,为临床鉴别普通型与重型HFMD提供辅助依据。方法收集60例HFMD患儿异常心电图的表现,并分析普通型与重型患儿心电图的不同。结果 T波倒置、左前分支阻滞、右束支阻滞及不定型室内束支阻滞在普通型与重型之间的差异有统计学意义(P<0.05),左后分支阻滞在普通型与重型之间的差异无统计学意义(P>0.05)。结论当HFMD患儿心电图表现出T波倒置、左前分支阻滞、右束支阻滞及不定型室内束支阻滞时,提示病情重。

Objective To investigate the similarities and differences in ECG manifestations between common and severe hand, foot and mouth disease （HFMD）,and to provide a basis for the differential diagnosis of common and severe HFMD. Methods The abnormal ECG manifestations were recorded in 60 children with HFMD and the differences in ECG manifestations were analyzed between common and severe HFMD. Results There were significant differences in T wave inversion, left bundle branch block, right bundle branch block and unstable intraventricular bundle branch block between the common and severe HFMD （P〈0.05）. No obvious differences in the left posterior fascicular block were found between the common and severe HFMD （P〉0.05）. Conclusion The appearance of T wave inversion, left bundle branch block, right bundle branch block and unstable intraventricular bundle branch block shows severe illness in children with HFMD.