心电图对陈旧性心肌梗死诊断价值及漏诊原因分析_000002.docVIP

心电图对陈旧性心肌梗死诊断价值及漏诊原因分析_000002 　　【摘要】 目的：分析心电图对陈旧性心肌梗死的诊断价值及漏诊的原因。方法：随机选取2015年1月-2016年12月笔者所在医院收治的陈旧性心肌梗死患者70例作为研究对象，对所有患者的一般资料及心电图检测结果进行研究，分析陈旧性心肌梗死患者漏诊原因，判断心电图的诊断价值。结果：对70例陈旧性心肌梗死患者进行心电图检测，确诊34例，漏诊36例，漏诊率为51.43%，漏诊患者与确诊患者在年龄与性别方面比较差异无统计学意义；冠状动脉病变支数为1～2支的患者漏诊率为47.06%，合并心脑血管危险因素1～2个的患者漏诊率为38.89%，明显低于合并3个以上的55.56%、64.71%，比较差异均有统计学意义（P0.05）。结论：心电图对陈旧性心肌梗死的诊断准确率较低，冠状动脉病变支数和合并心脑血管危险因素会影响心电图对陈旧性心肌梗死的诊断，易漏诊。 　　【关键词】 心电图； 陈旧性心肌梗死； 诊断价值； 漏诊原因 　　doi：10.14033/j.cnki.cfmr.2017.32.052 文献标识码 B 文章编号 1674-6805（2017）32-0103-02 　　Analysis of Diagnostic Value of Electrocardiogram in Old Myocardial Infarction and the Causes of Missed Diagnosis/ZHONG Guixiu，RAO Youpeng.//Chinese and Foreign Medical Research，2017，15（32）：103-104 　　【Abstract】 Objective：To analyze the diagnostic value of electrocardiogram in diagnosis of old myocardial infarction and the causes of missed diagnosis.Method：From January 2015 to December 2016，70 cases of old myocardial infarction admitted in our hospital were randomly selected，the general data and ECG test results of all patients were studyed to analyze the causes of missed diagnosis in patients with old myocardial infarction and to determine the diagnostic value of ECG.Result：The electrocardiogram（ECG） in 70 patients with chronic myocardial infarction，34 cases diagnosed，36 cases of misdiagnosis and missed diagnosis rate was 51.43%，the misdiagnosis and patients with age and gender in patients with confirmed there was no statistically significant difference comparing.The number of patients with coronary artery disease 1-2 was 47.06%，and the number of patients with cerebral vascular risk 1-2 was 38.89%，significantly lower than 55.56%，64.71% of 3+.The differences were statistically significant（P0.05）.Conclusion：Electrocardiogram （ECG） has low diagnostic accuracy in the diagnosis of old myocardial infarction，the number of affected blood vessels of coronary artery and the risk factors of cardiovascular and cerebrovascular disease can affect the diagnosis of ol