中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
16期
102-102,104
,共2页
急性心肌梗死%超急性期%心电图%非典型改变%临床价值
急性心肌梗死%超急性期%心電圖%非典型改變%臨床價值
급성심기경사%초급성기%심전도%비전형개변%림상개치
Acute myocardial infarction%Super acute period%Electrocardiogram%Atypical change%Clinical value
目的：探讨急性心肌梗死超急性期心电图非典型改变的临床特点。方法：收治急性心肌梗死患者125例，按照就诊时间分成4组，分别为0＜VT≤2 h组，2 h＜VT≤4 h组，4 h＜VT≤6 h组，VT＞6 h组，比较各组的心电监测结果。结果：4组患者的心电图阳性率差异存在统计学意义(P＜0.05)，2 h＜VT≤4 h组心电图阳性率较4 h＜VT≤6 h组、VT＞6 h组发生显著升高(P＜0.05)。结论：急性心肌梗死超急性期会发生明显的心电图改变，且多发生在发病后的2～4 h内，T波改变为主，在今后的临床诊治中应对其给予足够的重视。
目的：探討急性心肌梗死超急性期心電圖非典型改變的臨床特點。方法：收治急性心肌梗死患者125例，按照就診時間分成4組，分彆為0＜VT≤2 h組，2 h＜VT≤4 h組，4 h＜VT≤6 h組，VT＞6 h組，比較各組的心電鑑測結果。結果：4組患者的心電圖暘性率差異存在統計學意義(P＜0.05)，2 h＜VT≤4 h組心電圖暘性率較4 h＜VT≤6 h組、VT＞6 h組髮生顯著升高(P＜0.05)。結論：急性心肌梗死超急性期會髮生明顯的心電圖改變，且多髮生在髮病後的2～4 h內，T波改變為主，在今後的臨床診治中應對其給予足夠的重視。
목적：탐토급성심기경사초급성기심전도비전형개변적림상특점。방법：수치급성심기경사환자125례，안조취진시간분성4조，분별위0＜VT≤2 h조，2 h＜VT≤4 h조，4 h＜VT≤6 h조，VT＞6 h조，비교각조적심전감측결과。결과：4조환자적심전도양성솔차이존재통계학의의(P＜0.05)，2 h＜VT≤4 h조심전도양성솔교4 h＜VT≤6 h조、VT＞6 h조발생현저승고(P＜0.05)。결론：급성심기경사초급성기회발생명현적심전도개변，차다발생재발병후적2～4 h내，T파개변위주，재금후적림상진치중응대기급여족구적중시。
Objective:To explore the clinical characteristics of the ECG atypical change in super acute period of AMI.Methods:125 patients with acute myocardial infarction were selected.According to the time of treatment,they were divided into 4 groups, they respectively were 0<VT≤2 hours group,2 hours<VT≤4 hours group,4 hours<VT≤6 hours group,VT>6 hours group. We compared the ECG monitoring results of each group.Results:There were obvious differences of the four groups in the positive rate of electrocardiogram(P<0.05).The positive rate of electrocardiogram in 2 hours<VT≤4 hours group was significantly higher than 4 hours<VT≤ 6 hours group and VT>6 hours group(P<0.05).Conclusion:The ECG was obvious changed in super acute period in patients with acute myocardial infarction,change time was focused on 2 to 4 hours after attack,and T wave change was more.In the clinical diagnosis and treatment in the future,we should pay enough attention to it.
