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目的探讨心电图检查在急诊危重病诊治中的价值。方法对我院8年来的急诊危重病患者中的420例心电图资料进行分析。结果 420例急诊危重病患者中的异常心电图有284例,占总数的67.6%。在异常心电图中分别有ST段抬高或T波高尖、ST段压低、T波倒置或异常Q波、房室传导阻滞、阵发性室上性心动过速、心房纤颤、肺性P波等表现。有胸闷、胸痛或呼吸困难、神志改变患者的心电图中以ST段改变居多,其次表现为心房纤颤。有心悸患者的心电图中以阵发性室上性心动过速为主。在脑血管意外患者的心电图中可表现为ST-T改变。在多发性外伤患者的心电图中有部分患者表现为窦性心动过速,有部分表现为ST-T改变,但大多数未见异常。结论心电图检查有助于急诊危重病患者的快速诊断、鉴别诊断和监测。
Objective To investigate the value of electrocardiogram in the diagnosis and treatment of critical illness. Methods The data of 420 electrocardiogram in emergency critical illness patients in our hospital over the past eight years were analyzed. Results There were 284 cases of abnormal electrocardiogram (ECG) in 420 emergency patients, accounting for 67.6% of the total. In abnormal ECG, there are ST segment elevation or T wave tip, ST segment depression, T wave inversion or abnormal Q wave, atrioventricular block, paroxysmal supraventricular tachycardia, atrial fibrillation, pulmonary P Waves and other performance. Have chest tightness, chest pain or difficulty breathing, mental changes in patients with ST-segment ECG changes, followed by the performance of atrial fibrillation. Palpitations in patients with electrocardiogram to paroxysmal supraventricular tachycardia-based. In patients with cerebrovascular accident ECG can be expressed as ST-T changes. In patients with multiple traumatic ECGs, some patients showed sinus tachycardia, some showed ST-T changes, but most of them showed no abnormalities. Conclusion Electrocardiography is helpful for the rapid diagnosis, differential diagnosis and monitoring of emergency critical patients.