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本文对37例渗出性心包炎的心电图变化进行了分析,结果显示:房性快速型心律失常5例(13.51%);右束支传导阻滞2例(5.40%);Ⅰ度房室传导阻滞1例(2.70%);ST—T改变35例(94.59%)。同时,还发现肢体导联QRS波低电压及QRS波电交替的发生率与心包积液量相关。结合上述结果,对渗出性心包炎心电图异常的发生机理及临床意义进行了探讨。
In this paper, 37 cases of exudative pericarditis ECG changes were analyzed, the results showed that: atrial tachyarrhythmia in 5 cases (13.51%); right bundle branch block in 2 cases (5.40%); Ⅰ Degree atrioventricular block in 1 case (2.70%); ST-T changes in 35 cases (94.59%). At the same time, it was also found that the incidence of limb lead QRS wave and QRS wave alternating alternating current and pericardial fluid volume related. Combined with the above results, the pathogenesis of exudative pericarditis electrocardiogram abnormalities and clinical significance were discussed.