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急性心梗心电图QRS波形改变诊治的研究 被引量:2

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摘要 目的:探讨急性心肌梗死患者的心电图检查QRS波形终末改变的诊治。方法:选取我院2012年7月至2013年10月治疗的急性心梗患者100例,根据发病后心电图检查有无QRS终末波形改变分为QKS改变组(55例)及非QRS改变组(45例),比较两组患者一般情况与相关病史及两组ST段抬高导联数与QRS积分的关系。结果:非QRS改变组与QKS改变组年龄、性别组成无明显差异(P>0.05)。相关病史比较发现,QRS改变组患者有吸烟史、心绞痛史例数明显高于非QRS改变组(P<0.05),而糖尿病史及高脂血症史差异不明显(P>0.05),提示吸烟史及心绞痛病史与心电图检查QRS波形改变有关。两组患者QRS改变组ST段抬高导联数明显增多,评估梗死面积的QRS积分高,差异有显著性(P<0.05)。结论:临床上对于急性心梗患者,若心电图检查提示QRS终末改变,应注意病情的变化及转归,QRS改变组ST段抬高导联数明显增多,评估梗死面积的QRS积分高,预后差。
作者 吴爽 陈明科
机构地区 海南省人民医院
出处 《中国医学装备》 2014年第B12期132-132,共1页 China Medical Equipment
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