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室性早搏(简称室早)颇为常见,可见于正常人及各种心脏病。故如何正确判断和评价其临床意义十分重要。 1 资料与方法 总结我院1993年元月至1994年10月的室早心电图资料共202例,其来源为我院门诊、住院病人及所有健康体检者,年龄11～82岁,平均42岁。男124例,女78例。临床诊断:冠心病74例,高血压心脏病20例,心肌炎19例,风湿性心脏病12例,肺源性心脏病9例,心肌病8例,先天性心脏病2例。把这一部分具有明确的器质性心脏病或具有明显心脏异常表现者视为病理性室早组,共144例,占71.2％。非心血管系统疾病32例,健康体检者26例,把这一部分无明显心脏异常表现者视为健康室早组,共58例,占28.71％。
Premature ventricular contractions (referred to as room early) is quite common, can be found in normal subjects and a variety of heart disease. Therefore, it is very important to correctly judge and evaluate the clinical significance. 1 Materials and Methods Summary of our hospital from January 1993 to October 1994 room ECG data of a total of 202 cases, the source of our hospital outpatient, inpatient and all physical examination, aged 11 to 82 years, mean 42 years. 124 males and 78 females. Clinical diagnosis: coronary heart disease in 74 cases, 20 cases of hypertensive heart disease, 19 cases of myocarditis, rheumatic heart disease in 12 cases, 9 cases of pulmonary heart disease, 8 cases of cardiomyopathy, congenital heart disease in 2 cases. A total of 144 patients (71.2%) had this part of patients with definite organic heart disease or those with obvious cardiac abnormalities as pathological room early group. 32 cases of non-cardiovascular diseases and 26 cases of physical examination. 58 cases (28.71%) were regarded as early health group without obvious cardiac abnormalities.