CAJ | 학술논문

目的：探讨动态心电图对急诊心律失常监测的应用价值。方法收集我院2012年7月至2013年12月住院和门诊患者常规心电图、动态心电图检查结果，比较二者急诊心律失常检出率。结果动态心电图检出需立即处理的急诊心律失常41例，包括阵发性室上性心动过速1例、阵发性心房颤动合并快速心室率8例、多形性及尖端扭转型室速5例、无休止性室性心动过速5例、窦性停搏10例、2∶1房室阻滞3例、高度及阵发性三度房室阻滞9例；常规心电图未检出一例有上述表现。结论动态心电图监测可发现需快速处理的急诊心律失常，报告至临床医生使急诊心律失常患者得到及时有效的诊治。
목적：탐토동태심전도대급진심률실상감측적응용개치。방법수집아원2012년7월지2013년12월주원화문진환자상규심전도、동태심전도검사결과，비교이자급진심률실상검출솔。결과동태심전도검출수립즉처리적급진심률실상41례，포괄진발성실상성심동과속1례、진발성심방전동합병쾌속심실솔8례、다형성급첨단뉴전형실속5례、무휴지성실성심동과속5례、두성정박10례、2∶1방실조체3례、고도급진발성삼도방실조체9례；상규심전도미검출일례유상술표현。결론동태심전도감측가발현수쾌속처리적급진심률실상，보고지림상의생사급진심률실상환자득도급시유효적진치。
Objective To evaluate the clinical value of ambulatory electrocardiography(AECG) on acute arrhythmia monitoring.Methods We collected routine electrocardiogram (ECG) and AECG results of inpatients and outpatients in our hospital from July 2012 to December 2013,and compared the detection rates of acute arrhythmia by the two methods.Results By AECG,acute ar-rhythmias were detected in 41 patients and required immediate treatment,including 1 case with par-oxysmal supraventricular tachycardia,8 cases with paroxysmal atrial fibrillation complicating rapid ventricular rate,5 cases with polymorphic and torsade de pointes,5 cases with incessant ventricular tachycardia,10 cases with sinus arrest,3 cases with 2"1 atrioventricular block,and 9 cases with high degree and paroxysmal complete atriventricular block.However,routine ECG failed to detect any arrhythmia in those patients.Conclusion AECG monitoring is capable of finding acute ar-rhythmia requiring emergency treatment and providing clinicians reports to diagnose and treat the pa-tients in time.