初级医生的心电图解读
Electrocardiograph interpretation by junior doctors.
作者信息
Morrison W G, Swann I J
机构信息
Department of Accident and Emergency Medicine, Glasgow Royal Infirmary, Scotland.
出版信息
Arch Emerg Med. 1990 Jun;7(2):108-10. doi: 10.1136/emj.7.2.108.
Abstract
The object of this study was to assess the ability of junior doctors in the accident and emergency department to detect electrocardiographic (ECG) abnormalities. The ECG's performed in this department were monitored over a 4 week period. The initial diagnosis by the accident and emergency doctor was compared with the report from the cardiologist on 126 ECG's which showed abnormalities. The error rate was 19.8%. Of those abnormalities which were graded as clinically significant only 2 (4.4%) were missed. The danger of missing acute changes is emphasized and proposals discussed which may reduce their frequency.
摘要
本研究的目的是评估急诊科初级医生检测心电图（ECG）异常的能力。在4周的时间内对该科室进行的心电图检查进行了监测。将急诊科医生的初步诊断与心脏病专家对126份显示异常的心电图报告进行了比较。错误率为19.8%。在那些被判定为具有临床意义的异常中，仅漏诊了2例（4.4%）。强调了漏诊急性变化的危险性，并讨论了可能降低其发生率的建议。
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本文引用的文献
1
Radiological interpretation in an accident and emergency department.
Br J Clin Pract. 1983 Nov-Dec;37(11-12):375-7.
2
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