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大面积肺栓塞的心电图改变。II. ST段和T波改变的分析。

Electrocardiographic changes in massive pulmonary embolism. II. Analysis of the changes in ST segment and T wave.

作者信息

Ahonen A

出版信息

Acta Med Scand. 1977;201(6):543-5.

PMID:878911
Abstract

A retrospective analysis of the changes in ST segment and T wave has been made in 35 patients (16 male, 19 female) with massive pulmonary embolism in whom the diagnosis was confirmed at autopsy. Parameters of the last two ECGs available were measured and compared. It was found that during massive pulmonary embolism the most characteristic abnormalities were a decrease in ST segment, which took place in about 70% in leads I and V5-V6. Another common change was the inversion of the T wave, which took place in 43% in aVF, and in 37% in lead II. None of the changes, however, was statistically significant.

摘要

对35例经尸检确诊为大面积肺栓塞的患者(16例男性,19例女性)的ST段和T波变化进行了回顾性分析。测量并比较了最后两份可用心电图的参数。结果发现,在大面积肺栓塞期间,最典型的异常是ST段压低,在Ⅰ导联和V5-V6导联中约70%的患者出现这种情况。另一个常见变化是T波倒置,在aVF导联中43%的患者出现,在Ⅱ导联中37%的患者出现。然而,这些变化均无统计学意义。

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