摘要
目的观察肺源性心脏病患者感染控制前后的心电图变化。方法对76例肺源性心脏病患者分别在急性感染期和缓解期作常规心电图和动态心电图检查,比较心率、额面心电轴、RV1+SV5电压、肢体导联总电压、PⅡ波电压、房性和室性心律失常。结果急性感染期和缓解期心率(110±11次/min,91±10次/min)、ST-T改变的发生率(78%,46%)、房性心律失常(98%,76%)和室性心律失常(32%,14%)差异均有显著性意义(P<0.05);额面心电轴、RV1+SV5电压、肢体导联总电压和PⅡ波电压差异无显著性意义。结论肺源性心脏病患者感染得到控制后,心电图的部分参数随之好转,心律失常和ST-T能够较敏感地反映病情状况。
Objective To observe electrocardiogram （ECG） changes before and after control of infection in patients with cot pulmenale. Methods ECG and dynamic ECG were recorded and analyzed during acute pulmonary infection and after treatment in 76 patients with cor pulmonale, Results There were significant differences for HR （110 ±11bpm,91 ± 10bpm ）, incidences of ST-T change（ 78%,46% ）, atrial arrhythmia（98%,76% ）and ventricular arrhythmia（32%, 14% ）,and no significant difference for QRS electrical axis, sum of amplitude of RV1＋SV5, sum of amplitude of R＋S in all limb leads and P wave amplitude in lead Ⅱ before and after control of infection. Conclusion Some parameters of ECG will normalize as the infection controlled in patients with cor pulmonale. Arrhythmia and ST-T changes can sensitively reflect the disease state.
出处
《心电学杂志》
2008年第4期268-269,共2页
Journal of Electrocardiology(China)
关键词
肺源性心脏病
肺部感染
心电图
Cor pulmonale
Pulmonary infection
Electrocardiogram
