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早期复极综合征的心电图变化特点及鉴别
http://www.100md.com 《吉林医药学院学报》 2006年第4期
早期复极综合征;心电图;STT改变,,的合理使用法,1资料与方法,2结果,3讨论,参考文献:
     摘 要:目的 分析早期复极综合征(ERS)的心电图变化特点,探讨其临床意义及鉴别方法。方法 对38例ERS的心电图及临床资料进行分析。结果 ERS以男性多见(86.9%)。其ST段抬高及高耸T波改变以V3V5导联最为明显(85.6%),大多伴J波(88.7%),STT改变较恒定,运动试验可使ST段暂时回落基线。结论ERS是一种正常变异的心电图改变,由于ERS在临床上常以胸痛为首发症状,故易造成误诊,因其表现ST段抬高易与病理性STT改变混淆,需结合临床病史、心电图动态观察及血清酶学改变等与急性期心肌梗死、变异型心绞痛、心包炎等病理性改变心电图鉴别。

    关 键 词:早期复极综合征;心电图;STT改变

    The clinical observation of internal fixation on unstable intertrochanteric fracture

    OUYANG Jin, WANG Dongmei, LIU Geming (Directly Subordinate Hospital of Jilin Medical collage, Jilin city, Jilin province, 132013, China)

    Abstract:Objective To analyse characteristic of change of electrocardiogram in early repolurization syndrome (ERS) and explore its clinical significance. Methods To analyse electrocardiogram and clinical data 38 cases with ERS. Results Male patients with early repolurization syndrome were more than female patients (86%). Characteristic of electrocardiogram of ERS was ST segment driven up. Moreover, it was mostly obvious that change of soaring T wave on V15 lead (85%), many cases concomitant with J point(88%) rising and change of ST segment of these cases were invariable, exercise experiment could temporarily make runningup ST segment regress to base line. Conclusion ERS is a natural aberrance of electrocardiogram. Because ERS often happens chest pain as firstly sign in clinical, so it makes falsely diagnose, because its ST segment rising electrocardiogram of early repolurization syndrome may be confusd with change of STT segment of electrocardiogram in pathologic state. So it is necessary to combine with clinical history when making out diagnose. Dynamic observation of electro cardiogram of ERS is distinguished from change of electrocardiogram of acute myocardial infarction and aberrance angina pectoris and pericarditis. ......

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