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目的探讨气胸致心电图变化的特点及其临床意义。方法将136例气胸患者分为左侧气胸组85例及右侧气胸组51例,并对比分析两组心电图特点。结果左侧气胸组心电图异常较右侧气胸组高,差异有显著性意义,左侧气胸组心电图改变主要表现为胸导联R波递增不足,V3～V6低电压现象。右侧气胸组主要表现为V1、V2QRS电压随呼吸周期呈有规律性变化。结论左、右侧气胸各自有相应的心电图改变,应结合临床和及时作X线胸部检查等及早明确诊断。
Objective To investigate the characteristics of pneumothorax-induced electrocardiogram and its clinical significance. Methods 136 cases of pneumothorax patients were divided into left pneumothorax group 85 cases and right pneumothorax group 51 cases, and comparative analysis of two groups of ECG characteristics. Results The left pneumothorax group electrocardiogram abnormalities than the right pneumothorax group, the difference was significant, the left pneumothorax ECG changes mainly for the chest lead R wave increment insufficiency, V3 ~ V6 low voltage phenomenon. The right pneumothorax group mainly manifested as V1, V2QRS voltage showed regular changes with the respiratory cycle. Conclusion The left and right pneumothorax have corresponding ECG changes, should be combined with clinical and timely X-ray examination of the chest and other early diagnosis.