国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2010年
17期
2113-2116
,共4页
急性心肌梗死%心电图%等电位性%常规导联
急性心肌梗死%心電圖%等電位性%常規導聯
급성심기경사%심전도%등전위성%상규도련
Acute myocardial infarction%Electrocardiogram%Equivalent%Conventional leads
目的 探讨急性心肌梗死(AMI)患者不典型心电图的产生原因及心电图特征.方法 回顾性分析2009年1月-2010年1月间在我院诊疗的AMI并伴有不典型心电图的患者45例临床资料.结果 本组不典型心电图原因中急性心肌梗死早期25例(55.56%),其次是梗死面积较小9例(20.00%),多部位梗死6例(13.33%),再发心肌梗死3例(6.67%),其他2例(4.44%).本组不典型心电图类型中T波高而尖14例(31.11%),其次是出现小q波12例(26.67%),出现等电位性Q波10例(22.22%),ST段下移5例(11.11%),T波的演变2例(4.44%)等.结论 AMI不典型心电图产生的原因以及心电图特征多种多样,临床医师应熟悉掌握、综合分析.
目的 探討急性心肌梗死(AMI)患者不典型心電圖的產生原因及心電圖特徵.方法 迴顧性分析2009年1月-2010年1月間在我院診療的AMI併伴有不典型心電圖的患者45例臨床資料.結果 本組不典型心電圖原因中急性心肌梗死早期25例(55.56%),其次是梗死麵積較小9例(20.00%),多部位梗死6例(13.33%),再髮心肌梗死3例(6.67%),其他2例(4.44%).本組不典型心電圖類型中T波高而尖14例(31.11%),其次是齣現小q波12例(26.67%),齣現等電位性Q波10例(22.22%),ST段下移5例(11.11%),T波的縯變2例(4.44%)等.結論 AMI不典型心電圖產生的原因以及心電圖特徵多種多樣,臨床醫師應熟悉掌握、綜閤分析.
목적 탐토급성심기경사(AMI)환자불전형심전도적산생원인급심전도특정.방법 회고성분석2009년1월-2010년1월간재아원진료적AMI병반유불전형심전도적환자45례림상자료.결과 본조불전형심전도원인중급성심기경사조기25례(55.56%),기차시경사면적교소9례(20.00%),다부위경사6례(13.33%),재발심기경사3례(6.67%),기타2례(4.44%).본조불전형심전도류형중T파고이첨14례(31.11%),기차시출현소q파12례(26.67%),출현등전위성Q파10례(22.22%),ST단하이5례(11.11%),T파적연변2례(4.44%)등.결론 AMI불전형심전도산생적원인이급심전도특정다충다양,림상의사응숙실장악、종합분석.
Objective To explore the causes and features of atypical appearance of acute myocardial infarction (AMI) on electrocardiogram. Methods The clinical data on 45 patients with AMI in our hospital from January 2009 to January 2010 were analyzed retrospectively.Results The reasons of atypical appearance on electrocardiogram were early infarction 25 cases (55.56%), smaller infarct size 9 (20.00%),multiple infarcts 6 (13.33%), relapsed myocardial infarction 3 (6.67%), and other causes 2 (4.44%). 14 cases (31.11%) developed high and sharp T waves, 12 (26.67%) had little Q waves, 10 (22.22%) occurred equivalent Q waves, 5 (11.11%) developed ST segment depression, and 2 (4.44%) had T wave changes.Conclusions The causes and features of atypical electrocardiogram of acute myocardial infarction are various. Clinicians should understand and analyze electrocardiogram comprehensively.
