摘要
目的:探讨急性肺血栓栓塞症(PTE)的心电图(ECG)变化特点。方法:收集急性PTE的ECG资料,并对相关文献进行复习。结果:急性PTE的ECG改变常见的有窦性心动过速、SⅠTⅢQⅢ、胸前导联T波倒置、右束支传导阻滞等。经过有效的溶栓或抗凝等治疗ECG可出现一系列的动态演变,包括心率减慢、SⅠTⅢQⅢ改善甚至消失、右束支传导阻滞改善或消失、房性心律失常消失、胸前导联T波倒置变浅或直立等。结论:急性PTE的ECG表现具有其特征性和动态演变的特点,临床医师要掌握其特点,结合临床综合分析,做到早期诊断、早期治疗,减少临床误诊率和病死率。
Objective:To discuss the characteristic changes of electrocardiogram in patients with acute pulmonary thromboembolism.Methods:Acute PTE of ECG data was collected,and we reviewed the relevant literature.Results:Acute PTE ECG change the common sinus tachycardia,SITIIIQIII,precordial T wave inversion,right bundle branch block etc.Through effective thrombolysis or anticoagulant therapy such as ECG can appear a series of dynamic evolution,including decreased heart rate, SⅠTⅢQⅢ improved or disappeared,right bundle branch block improved or disappeared,atrial arrhythmia disappeared,precordial T wave inversion of shallow or erect etc.Conclusion:The ECG manifestations of acute PTE with its characteristic and the characteristics of dynamic evolution,clinicians should understand the characteristics,combing with clinical comprehensive analysis,do early diagnosis and early treatment,reducing the misdiagnosis rate and death rate.
出处
《中国社区医师》
2015年第15期103-104,共2页
Chinese Community Doctors
