CAJ | 학술논문

目的：探讨溶栓治疗对急性肺栓塞患者心电图的影响。方法入选自2014年1月~2014年12月于武汉大学中南医院心内科收治的急性肺栓塞患者65例，男42例，女23例，年龄33～76岁，平均（52.3±11.2）岁。对比溶栓治疗前后心电图变化，包括电轴右偏、右束支传导阻滞、肺型P波、胸前导联T波倒置、aVR导联R波振幅增高、窦性心动过速、SⅠQⅢTⅢ（Ⅰ导联S波Ⅲ导联Q波T波）、SⅠQⅢ（Ⅰ导联S波Ⅲ导联Q波）、SⅠ（Ⅰ导联S波）、Tv1~v5倒置。结果与溶栓治疗前比较，溶栓治疗后电轴右偏、SⅠQⅢTⅢ型、窦性心动过速发生率减少，为23.1%vs.9.2%、53.8%vs.27.7%、49.2%vs.23.1%，差异有统计学意义（P均＜0.05）。结论溶栓治疗能够改善急性肺栓塞患者的心电图指标。
목적：탐토용전치료대급성폐전새환자심전도적영향。방법입선자2014년1월~2014년12월우무한대학중남의원심내과수치적급성폐전새환자65례，남42례，녀23례，년령33～76세，평균（52.3±11.2）세。대비용전치료전후심전도변화，포괄전축우편、우속지전도조체、폐형P파、흉전도련T파도치、aVR도련R파진폭증고、두성심동과속、SⅠQⅢTⅢ（Ⅰ도련S파Ⅲ도련Q파T파）、SⅠQⅢ（Ⅰ도련S파Ⅲ도련Q파）、SⅠ（Ⅰ도련S파）、Tv1~v5도치。결과여용전치료전비교，용전치료후전축우편、SⅠQⅢTⅢ형、두성심동과속발생솔감소，위23.1%vs.9.2%、53.8%vs.27.7%、49.2%vs.23.1%，차이유통계학의의（P균＜0.05）。결론용전치료능구개선급성폐전새환자적심전도지표。
Objective To discuss the influence of thrombolytic therapy on electrocardiogram (ECG) changes in patients with acute pulmonary embolism. Methods The patients (n=65, male 42, female 23, aged from 33 to 76 and average age=52.3±11.2) were chosen from Jan. 2014 to Dec. 2014. The changes of ECG were compared before and after treatment, including right axis deviation, right bundle branch block (RBBB), pulmonary P-wave (PPV), precordial T wave inversion, R wave amplitude elevation in lead aVR, nodal tachycardia, and inversions of SⅠQⅢTⅢ, SⅠQⅢ, SⅠand Tv1~v5. Results After treatment, the incidence of right axis deviation, SⅠQⅢTⅢand nodal tachycardia decreased [(23.1% vs. 9.2%), (53.8% vs. 27.7%), (49.2% vs. 23.1%), all P<0.05]. Conclusion Thrombolytic therapy can improve the ECG indexes in patients with acute pulmonary embolism.