CAJ | 학술논문

目的：分析急性肺栓塞患者治疗前后超声心动图和心电图的变化及价值。方法选取48例急性肺栓塞患者为研究对象，均接受相关治疗，回顾性分析治疗前后24 h超声心动图，观察超声心动图检查指标，包括右心室舒张末期前后径( RVED )、舒张期横径( RVDD )、右心房舒张期横径( RADD )、右心室前壁厚度( RVAWT )、主肺动脉内径( PAD )和右房室瓣反流压差( TRPG )以及心电图的改变。结果治疗后超声心动图显示，患者的RVED、RVDD、RVAWT、PAD、TRPG较治疗前显著减小，差异有统计学意义(P＜0.05)；而RADD则无显著变化(P＞0.05)，治疗后48例患者多数心电图有明显变化。结论超声心动图与心电图联合检查为急性肺栓塞的诊断和疗效观察提供了直接、快速、无创及更加准确的检查方法。
목적：분석급성폐전새환자치료전후초성심동도화심전도적변화급개치。방법선취48례급성폐전새환자위연구대상，균접수상관치료，회고성분석치료전후24 h초성심동도，관찰초성심동도검사지표，포괄우심실서장말기전후경( RVED )、서장기횡경( RVDD )、우심방서장기횡경( RADD )、우심실전벽후도( RVAWT )、주폐동맥내경( PAD )화우방실판반류압차( TRPG )이급심전도적개변。결과치료후초성심동도현시，환자적RVED、RVDD、RVAWT、PAD、TRPG교치료전현저감소，차이유통계학의의(P＜0.05)；이RADD칙무현저변화(P＞0.05)，치료후48례환자다수심전도유명현변화。결론초성심동도여심전도연합검사위급성폐전새적진단화료효관찰제공료직접、쾌속、무창급경가준학적검사방법。
Objective To analyze the change and value of echocardiogram and electrocardiogram before and after treatm ent for sufferers w ith acute pulm onary em bolism .Methods 48 sufferers w ith acute pulm onary em bolism w ere collected to accept the relevant treatm ent.E chocardiogram of 24 hours before and after the treatm ent w as retrospectively analyzed,and the echocardiographic indexes were observed including RVED ,RVDD ,RADD ,RVAW T,PAD and TR PG .Results A fter the treatm ent,echocardiogram show ed RVED ,RVDD ,RVAWT,PAD and TR PG decreased ob-viously com pared w ith those before the treatm ent,and the differences w ere of statistical significance (P<0 .05 ),w hile no significant difference w as found in RADD (P>0 .05 ).A fter the treatm ent,m ost of the 48 sufferers w ith acute pul-m onary em bolism got significant changes on electrocardiogram .Conclusion C om bined check of echocardiogram and electrocardiogram is a direct,rapid,noninvasive,and accurate m ethod for diagnosis and curative effect observation on acute pulm onary em bolism .