心电图ST-T改变对急性肺栓塞严重程度的评价
Applicative Value of Electrocardiographic ST-T changes in Predicting Severity of Acute Pumonary Embolism
康浩飞 1陈弹1
作者信息
- 1. 苏州大学附属第一医院心内科,江苏苏州215000
- 折叠
摘要
目的 探讨心电图ST-T改变对急性肺栓塞(APE)严重程度的评价.方法 回顾性分析APE患者55例,分为ST-T改变组(A组)36例和非ST-T改变组(B组)19例,两组均于入院24 h内相隔8～12 h两次测定血清肌钙蛋白I(TnI),同时对两组患者住院期间的严重临床事件进行统计.结果 55例APE患者有17例TnI阳性,A组为15例,B组为2例；21例严重临床事件中,A组为17例,B组为4例.结论 心电图ST-T改变提示APE心肌损伤及严重临床事件的发生率增加,是评估APE严重程度的简易方法.
Abstract
Objective To evaluate the applicative value of electrocardiographic ST-T changes in predicting the severity of acute pulmonary embolism (APE). Methods A retrospective study was carried out on data of 55 patients with APE. The patients were divided into two groups:ST-T changed group( A group) :36 patients and Non ST-T changed group(B group) :19 patients, All patients determined plasma cardiac troponin I twice interval 8-12 hours in 24 hours after admission. To observe serious clinical events in hospital. Results In 55 APE patients, 17 patients had positive Tnl results, 15 patients in A group, 2 patients in B group. 21 patients experienced serious clinical events, 17 in A group,4 in B group. Conclusions Electrocardiographic ST-T changes suggest myocardial injury with the elevated risk of serious clinical events,it is a easy method to evaluate the severity of APE.
关键词
心电描记术/肺栓塞/诊断/急性病Key words
Electrocardiography/Pulmonary Embolism/diagnosis/Acute Disease引用本文复制引用
出版年
2012
NETL
NSTL
维普
万方数据