现代仪器与医疗
現代儀器與醫療
현대의기여의료
Modern Instruments & Mediccal Treatment
2015年
5期
103-104,110
,共3页
急性肺栓塞%心电图%ST 段压低
急性肺栓塞%心電圖%ST 段壓低
급성폐전새%심전도%ST 단압저
acute pulmonary embolism%electrocardiogram%st-segment depression
目的:分析急性肺栓塞(APE)患者心电图 ST 段压低情况,探讨其与栓塞面积相关性。方法:选择128例 APE 患者为研究对象,按照是否出现 ST 段压低分组,分析两组患者栓塞面积、死亡率等指标的差异。结果:128例 APE 患者中,有72例患者出现心电图 ST 段压低,发生率为56.25%,较大面积组的 aVF、V2、V6导联 ST 段压低发生率高于小面积组(P<0.05),大面积组的Ⅲ、aVL、aVF、V1、V6导联 ST 段压低发生率高于小面积组(P<0.05),大面积组Ⅲ、aVL、V1、V2导联的ST 段压低发生率高于较大面积组(P<0.05)。ST 段压低组与非压低组比较,休克发生率为4.05%vs3.7%,死亡率为8.11%vs0%,压低组死亡率高于非压低组,组间比较差异有统计学意义。结论:APE 患者心电图 ST 段压低发生率高,不同栓塞面积患者的 ST 段压低发生率和心电图表现有差异,ST 段压低APE 患者病情严重程度较高。
目的:分析急性肺栓塞(APE)患者心電圖 ST 段壓低情況,探討其與栓塞麵積相關性。方法:選擇128例 APE 患者為研究對象,按照是否齣現 ST 段壓低分組,分析兩組患者栓塞麵積、死亡率等指標的差異。結果:128例 APE 患者中,有72例患者齣現心電圖 ST 段壓低,髮生率為56.25%,較大麵積組的 aVF、V2、V6導聯 ST 段壓低髮生率高于小麵積組(P<0.05),大麵積組的Ⅲ、aVL、aVF、V1、V6導聯 ST 段壓低髮生率高于小麵積組(P<0.05),大麵積組Ⅲ、aVL、V1、V2導聯的ST 段壓低髮生率高于較大麵積組(P<0.05)。ST 段壓低組與非壓低組比較,休剋髮生率為4.05%vs3.7%,死亡率為8.11%vs0%,壓低組死亡率高于非壓低組,組間比較差異有統計學意義。結論:APE 患者心電圖 ST 段壓低髮生率高,不同栓塞麵積患者的 ST 段壓低髮生率和心電圖錶現有差異,ST 段壓低APE 患者病情嚴重程度較高。
목적:분석급성폐전새(APE)환자심전도 ST 단압저정황,탐토기여전새면적상관성。방법:선택128례 APE 환자위연구대상,안조시부출현 ST 단압저분조,분석량조환자전새면적、사망솔등지표적차이。결과:128례 APE 환자중,유72례환자출현심전도 ST 단압저,발생솔위56.25%,교대면적조적 aVF、V2、V6도련 ST 단압저발생솔고우소면적조(P<0.05),대면적조적Ⅲ、aVL、aVF、V1、V6도련 ST 단압저발생솔고우소면적조(P<0.05),대면적조Ⅲ、aVL、V1、V2도련적ST 단압저발생솔고우교대면적조(P<0.05)。ST 단압저조여비압저조비교,휴극발생솔위4.05%vs3.7%,사망솔위8.11%vs0%,압저조사망솔고우비압저조,조간비교차이유통계학의의。결론:APE 환자심전도 ST 단압저발생솔고,불동전새면적환자적 ST 단압저발생솔화심전도표현유차이,ST 단압저APE 환자병정엄중정도교고。
Objective: Analysis st-segment depression in acute pulmonary embolism patients. Methods:128 patients with APE were selected as the research object, grouped according to st-segment depression . Results: 72 cases of patients with st-segment depression, the occurrence rate was 56.25%, the middle area group of AVF, V2 and V6 Leads st-segment depression occurrence rate is higher than the small area group (P < 0.05), the largest area group III, AVL, AVF, v1, V6 st-segment depression occurrence rate is higher than the small area group (P < 0.05), the largest area group III, AVL, lead V1 and V2 of st-segment depression occurrence rate is higher than that of the middle group (P < 0.05). The incidence of shock was 4.05%vs3.7%,the mortality was 8.11%vs0%, the mortality of the depression group was higher than that of the without depression group. Conclusions: APE patients ECG st-segment depression occurred at a higher rate, area of different embolism in patients with st-segment depression occurred rate and electrocardiogram manifestations are different, st- segment depression in patients with disease severity.