急性肺栓塞心电图检查的临床分析

Clinical analysis of ECG examination of acute pulmonary embolism

目的为对我国医院中急性肺栓塞患者采用心电图进行诊断的特征以及在诊断中所起的作用进行探讨和分析。方法选取本院在2010年7月～2012年3月期间收治的50例急性肺栓塞患者，并对这50例患者在治疗前进行心电图检查，观察心电图检查在临床治疗中的应用。结果在经过检查后发现急性肺栓塞患者在经过心电图检查后，心电图改变的患者有93％，而出现改变的原因主要有窦速、右束支传导阻滞、肺型P波以及SⅠQⅡTⅢ。结论虽然在对急性肺栓塞患者进行心电图检查时，心电图检查不能够当作是医疗诊断，但是急性肺栓塞患者在进行心电图检查的特点，在现阶段的鉴别诊断中还是有一定的临床价值和临床意义。

Objective To explore, and analyze ECG diagnosis features and the role in the diagnosis in patients with acute pulmonary embolism in 9ur hospital. Methods 50 cases of patients with acute pulmonary embolism were examined by ECG before treatment, admitted to our hospital from July 2010 to March 2012, the application of ECG examination was observed in clinical treatment. Results It was found that the change of ECG was in 93% of patients with acute pulmonary embolism after ECG examination, and the reasons for change were mainly sinus, right bundle branch conduction block type, pulmonary P wave and S I Q n T m ~ Conclusion The examination of ECG can not consider as medical diagnosis, although in the examination of ECG in patients with acute pulmonary embolism. The characteristics of ECG examination on patients with acute pulmonary embolism, has a certain clinical value in differential diagnosis and clinical significance at present.