CAJ | 학술논문

目的：研究心电图在急性心肌梗死中的临床应用价值。方法选取我院在2012年3月至2014年3月收治的62例急性心肌梗死患者的临床资料，对患者资料进行回顾性分析。结果在62例患者中，有28例患者存在典型心电图表现，比例为45.2%。ST段抬高患者室性心律失常发生率明显高于非ST段抬高患者，对比差异显著，具有统计学意义(P＜0.05）。所有患者接受治疗后，有3例患者死亡，病死率为4.8%。有3例(4.8%）患者表现为心源性休克，2例(3.2%）患者为心力衰竭。结论针对急性心肌梗死患者病情，需密切观察其心电图变化情况，必要情况下，实施肌钙蛋白、心肌酶谱、18导联心电图检查，便于使临床疾病诊断率大大提高，为患者疾病治疗提供依据。
목적：연구심전도재급성심기경사중적림상응용개치。방법선취아원재2012년3월지2014년3월수치적62례급성심기경사환자적림상자료，대환자자료진행회고성분석。결과재62례환자중，유28례환자존재전형심전도표현，비례위45.2%。ST단태고환자실성심률실상발생솔명현고우비ST단태고환자，대비차이현저，구유통계학의의(P＜0.05）。소유환자접수치료후，유3례환자사망，병사솔위4.8%。유3례(4.8%）환자표현위심원성휴극，2례(3.2%）환자위심력쇠갈。결론침대급성심기경사환자병정，수밀절관찰기심전도변화정황，필요정황하，실시기개단백、심기매보、18도련심전도검사，편우사림상질병진단솔대대제고，위환자질병치료제공의거。
Objective?Study?the?clinical?value?of?electrocardiogram?in?acute?myocardial?infarction.?Methods?Clinical?data?in?our?hospital?in?March?2012?to?March?2014?were?treated?62?cases?of?acute?myocardial?infarction?in,?patients?were?retrospectively?analyzed.?Results?In?62?patients,?28?patients?had?typical?ECG,?the?ratio?was?45.2%.?ST?segment?elevation?in?the?incidence?of?ventricular?arrhythmia?in?patients?was?significantly?higher?than?in?patients?with?non-ST-segment?elevation,?compared?to?significant?differences,?with?statistical?significance?(P<0.05).?All?patients?receiving?treatment,?three?patients?died,?the?mortality?rate?was?4.8%.?There?are?three?cases?(4.8%)?patients?presented?with?cardiogenic?shock,?2?cases?(3.2%)?patients?with?heart?failure.?Conclusion?Against?the?disease?in?patients?with?acute?myocardial?infarction,?need?to?closely?observe?the?ECG?changes,?where?necessary,?implement?troponin,?myocardial?enzymes,?18-lead?ECG,?easy?to?make?a?clinical?diagnosis?of?the?disease?is?greatly?improved,?providing?the?basis?for?the?treatment?of?patients?with?the?disease.