心电图检查在急诊危重病中诊断价值.docVIP

心电图检查在急诊危重病中诊断价值【摘要】 目的 探讨心电图检查在急诊危重病诊治中的价值。方法 对我院8年来的急诊危重病患者中的420例心电图资料进行分析。结果 420例急诊危重病患者中的异常心电图有284例,占总数的67.6%。在异常心电图中分别有ST段抬高或T波高尖、ST段压低、T波倒置或异常Q波、房室传导阻滞、阵发性室上性心动过速、心房纤颤、肺性P波等表现。有胸闷、胸痛或呼吸困难、神志改变患者的心电图中以ST段改变居多,其次表现为心房纤颤。有心悸患者的心电图中以阵发性室上性心动过速为主。在脑血管意外患者的心电图中可表现为ST-T改变。在多发性外伤患者的心电图中有部分患者表现为窦性心动过速,有部分表现为ST-T改变,但大多数未见异常。结论 心电图检查有助于急诊危重病患者的快速诊断、鉴别诊断和监测。 【关键词】心电图检查;急诊危重病;诊断价值 The Diagnosis Value of EKG in Emergency Critical Care XIAO Ping. Departhment of ECG,the Luhua Hospital of Longmatan Distict,Luzhou 646605,China 【Abstract】 Objective To Investigate diagnosis value of EKG in emergency critical care.Methods To analyzed 420 EKG results of emergency critical illness patients of our hospital in recent eight years.Results 284 out of 420 cases are abnormal.The rate was about 67.6%.These abnormal results were ST-Segment Elevation or T Wave-the-Art,ST Segment Depression,T Wave Inversion,Abnormal Q Wave,Atrioventricular Block,Paroxysmal Supraventricular Tachycardia,Atrial Fibrillation,Pulmonary P Wave,etc.In detail,as for EKG results of those patients who suffer chest tightness or chest pain or difficulty breathing or abnormal changes of mind,most of them were ST segment changes,and nest in quantity are atrial fibrillation.EKG results of patients with palpitations were mainly paroxysmal supraventricular tachycardia.For patients with Cerebrovascular Accident,EKG results showed Sinus Tachycardia.And most EKG results of multiple trauma patients present normal,with minority of results being ST-T changes.Conclusion Emergency EKG is conductive to quick diagnosis,differential diagnosis and monitoring in emergency critical care. 【Key words】EKG; Emergency critical care; Diagnosis value 心电图检查以快捷简便,无创及重复性好为特点,成为临床诊断及监测的重要方法。尤其是急诊心电图检查在急救危重病中更为重要。对我院8年来记录的急诊危重病患者其中的420例心电图资料进行分析,探讨心电图检查在急诊危重病诊治中的价值。 1 临床资料 选取2002年1月至2010年2月收住我院重症监护室的急诊患者中可供分析的420例心电图资料。其中男238例,女182例,年龄18~96岁,平均59±8.2岁。均于就诊当日取平卧位或半卧位记录12导联心电图,分析其特点与临床表现,实验室检查结果及临床诊断的相关性。 2 结果 2.1 从表1分析,患