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濒死心电图的分型与临床


作者单位:238000 安徽省巢湖市第一人民医院

【摘要】    目的 探讨临床濒死心电图(ag ecg)的常见类型及其相关的临床意义。方法 对20例检出ag ecg改变的心血管内科危重症者心电图(ecg)及临床资料进行回顾性分析。结果 按ag ecg改变特征可分为室性心动过速-心室颤动型、停搏型、阻滞型和混合型4种类型,以室性心动过速-心室颤动型和混合型最为多见,发生率分别为40%和30%,死亡率为15%和5%。结论 及时的ecg检测和持续的心电监护可及早发现恶性心律失常的先兆,及时明确ag ecg改变的类型,对临床及时有效的抢救治疗具有重要的意义。

【关键词】  濒死状态 心电图 分型 临床意义

  the classifing and clinic significance of electrocardiogram of patient on the brink of death

  qi zhi-ping
   
  【abstract】  objective   to investigating the common types and clinical significance of electrocardiogram (ecg) of patient on the brink of death.  methods  retrospectively analyzing clinical data and electrocardiograms of 20 patients on the brink of death with severe cardiovascular disease.   results  according to the characteristics of electrocardiograms of 20 patients on the brink of death, arhythmias could be classified as ventricular tachycardia-ventricular fibrillation type, asystole type, blockage type and mixed type. among them, ventricular tachycardia-ventricular fibrillation type and mixed type were the most common patterns, their incidence rate were 40% , 30% and death rate were15% ,5%, respectively.   conclusion  electrocardiogram examination and persistent electrocardio-monitoring can discover presymptom of malignant arrhythmia, promptly. understanding the classifying of the electrocardiogram of patient on the brink of death has very important clinical significance.......

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