一过性病理性Q波的临床表现及治疗分析

Clinical Manifestations and Treatment Methods of the Transient Pathological Q- waves

目的分析一过性病理性Q波的临床表现及治疗方法。方法回顾性分析2009年1月—2014年5月新疆医科大学附属中医医院收治的13例出现一过性病理性Q波患者的临床资料,分析其临床表现、持续时间、治疗方法。结果 13例患者表现为胸闷或胸痛等不适,部分患者伴有恶心、头晕、乏力,10例患者心电图一过性病理性Q波表现为V1-V6导联,3例患者心电图表现为Ⅱ、Ⅲ、a VF导联,均持续1-2 h。给予替罗非班治疗后,患者一过性病理性Q波均消失。结论病理性Q波临床表现为胸闷、胸痛等不适,出现早期给予替罗非班治疗可使Q波消失。

Objective To analyse the clinical manifestations and treatment methods of the transient pathological Q-waves. Methods 13 patients with transient pathological Q- waves were admitted to Traditional Chinese Medicine Hospital Affiliated to Xinjiang Medical University from January 2009 to May 2014,the clinical data,such as the clinical manifestations,the duration time, and the treatment method were analyzed retrospectively. Results 13 patients were characterized by chest tightness or chest pain,some patients also had nausea,dizziness,and lack of power,the ECG transient pathological Q- waves of 10 patients occurred on V1- V6 leads,the transient pathological Q- waves of 3 patients occurred on Ⅱ,Ⅲ and a VF leads,the duration for all patients was 1- 2 h. The transient pathological Q- waves disappeared after the patients were treated with tirofiban. Conclusion The clinical manifestations of transient pathological Q- waves are chest tightness or chest pain, the pathological Q- waves may disappear when the patients are treated with tirofiban in the early time.