CAJ | 학술논문

室性心动过速是临床上需要紧急处理的严重心律失常，如何运用体表心电图准确、快速地诊断室速仍是临床医师面临的一个难题。笔者根据室速发生的起源部位不同，体表心电图分别具有不同的特异性表现，通过临床仔细分析大量心电图，并根据室速起源的部位分类，总结出了一种快速、简便且准确率高的诊断室速的新方法---图形法。为验证该新方法的诊断准确率，收集2011年1月至2013年12月在我院经心脏电生理检查明确诊断为室性心动过速的患者的280份室速发作时的12导联体表心电图，全部运用图形法对其进行分析，其中有177份符合图形法的诊断条件，诊断符合率为63．21％。图形法简便、快速、高效，易被临床专科和非专科医师掌握，适用于临床的需要。
실성심동과속시림상상수요긴급처리적엄중심률실상，여하운용체표심전도준학、쾌속지진단실속잉시림상의사면림적일개난제。필자근거실속발생적기원부위불동，체표심전도분별구유불동적특이성표현，통과림상자세분석대량심전도，병근거실속기원적부위분류，총결출료일충쾌속、간편차준학솔고적진단실속적신방법---도형법。위험증해신방법적진단준학솔，수집2011년1월지2013년12월재아원경심장전생리검사명학진단위실성심동과속적환자적280빈실속발작시적12도련체표심전도，전부운용도형법대기진행분석，기중유177빈부합도형법적진단조건，진단부합솔위63．21％。도형법간편、쾌속、고효，역피림상전과화비전과의사장악，괄용우림상적수요。
Ventricular tachycardia has always been an acute arrhythmia which needs urgent treat-ment.However it is still difficult for clinicians to find an accurate and quick method to diagnose it by traditional 12-lead electrocardiogram(ECG).According to the fact that surface ECG shows dif-ferent characteristics with different origins of ventricular tachycardia,we carefully analyzed a large number of ECGs.By the classification of origins of ventricular tachycardia,we summarized a new approach,figure method,which was quick,convenient and accurate in diagnosing the disease.In order to testify the diagnostic accuracy of this new method,we collected 280 12-lead surface ECGs when ventricular tachycardia attacked and these ECGs were belonging to patients who had been spe-cifically diagnosed with the disease by electrophysiologic examinations from January 201 1 to Decem-ber 2013 in our hospital.Figure method was utilized in the analysis of those ECGs,among which 177 ones coincided with diagnostic conditions of the new method,with a coincidence rate of 63.21%.This paper manifests the convenience,rapidity and high efficiency of figure method and it is also easy to be mastered by cardiologist and non-cardiovascular clinicians.The new method fits well for clinical requirements.