超声心动图和心电图联合检查在急性肺栓塞中的临床诊断价值分析

Value of combined echocardiography and electrocardiogram in diagnosis of acute pulmonary embolism

目的:分析超声心动图和心电图联合检查在急性肺栓塞中的临床诊断价值。方法:选取我院2014年6月~2016年6月收治的60例急性肺栓塞患者作为研究对象,在征得所有患者知情同意下实施超声心动图和心电图联合检查,并以CT肺动脉造影结果作为参照标准,分析该检查方案具有的诊断价值。结果:CT肺动脉造影结果提示,60例急性肺栓塞患者中双侧肺动脉栓塞28例、右肺动脉栓塞15例、右下肺动脉栓塞10例、左侧肺动脉栓塞7例,超声心动图和心电图联合检查诊断准确率96.7%,二者之间诊断准确率比较,差异无统计学意义(P>0.05)。结论:超声心动图和心电图联合检查诊断准确率高,能够满足当前临床诊疗工作开展需求,可作为首选检查方案推广使用。

Objective：To analyze the clinical diagnostic value of combined echocardiography and electrocardiogram in acute pulmonary embolism.Methods：Sixty patients with acute pulmonary embolism treated in our hospital from June 2014 to June 2016 were enrolled in this study.All patients underwent a combined examination of echocardiography and electrocardiogram with the informed consent of the patients.CT pulmonary angiography According to the standard,the diagnostic value of this program was analyzed.Results：CT pulmonary angiography results showed that 60 cases of acute pulmonary embolism in patients with bilateral pulmonary embolism in 28 cases,15cases of right pulmonary embolism,right lower pulmonary embolism in 10 cases,left pulmonary embolism in 7cases,echocardiography and electrocardiography combined diagnosis The accuracy rate was 96.7%.There was no significant difference between the two groups（P〉0.05）.Conclusion：The combination of echocardiography and electrocardiogram has high diagnostic accuracy,which can meet the needs of clinical diagnosis and treatment.It can be used as the first choice of examination program.