12导联心电图在肺源性心脏病诊断中的应用观察
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摘要
目的探讨12导联心电图在肺源性心脏病(pulmonary heart disease,PHD)诊断中的应用价值。方法选取我院2016年4月至2019年3月收治的82例疑似PHD患者,所有患者均行12导联心电图检查,将CR胸片检查结果作为诊断金标准,计算12导联心电图诊断准确度、敏感性、特异性、阳性预测值及阴性预测值,分析PHD心电图的特点。结果经CR胸片检查发现82例患者中有74例确诊为PHD,12导联心电图诊断准确度、敏感性、特异性、阳性预测值及阴性预测值分别为90. 24%、91. 89%、75. 00%、97. 14%、50. 00%; 74例PHD患者经12导联心电图检出异常的有68例,异常类型主要包括肺型P波、电轴偏移、心律失常、低电压、Ptf V1异常、ST-T段改变及顺钟向转位。结论 12导联心电图在PHD诊断中具有较高的诊断准确度、敏感性及特异性,对诊断及治疗方案的制定具有较高价值。
Objective To investigate the application value of 12 lead electrocardiogram( ECG) in the diagnosis of pulmonary heart disease( PHD). Methods A total of 82 patients suspected with PHD were selected,who had been admitted in our hospital from April 2016 to March 2019. They all underwent 12 lead ECG examination. The results of CR chest radiography were regarded as the golden standard for PHD. In the diagnosis of the disease,the accuracy,sensitivity,specificity,and positive and negative predictive values of 12 lead ECG were calculated while the ECG characteristics of PHD were analyzed. Results Among the 82 suspects,74 were diagnosed with PHD by CR chest radiography. In the diagnosis of PHD,the accuracy,sensitivity,specificity,and positive and negative predictive values of 12 lead ECG was 90. 24%,91. 89%,75. 00%,97. 14% and 50. 00%,respectively. ECG abnormalities were found in 68 out of 74 PHD patients by 12 lead ECG testing,mainly including pulmonary P wave,axis deviation,arrhythmia,low voltage,Ptf V1 abnormalities,ST-T segment changes and clockwise rotation.Conclusion The diagnostic accuracy,sensitivity and specificity of 12 lead ECG prove to be high for PHD. It has great value in making plans for diagnosis and treatment.
Objective To investigate the application value of 12 lead electrocardiogram( ECG) in the diagnosis of pulmonary heart disease( PHD). Methods A total of 82 patients suspected with PHD were selected,who had been admitted in our hospital from April 2016 to March 2019. They all underwent 12 lead ECG examination. The results of CR chest radiography were regarded as the golden standard for PHD. In the diagnosis of the disease,the accuracy,sensitivity,specificity,and positive and negative predictive values of 12 lead ECG were calculated while the ECG characteristics of PHD were analyzed. Results Among the 82 suspects,74 were diagnosed with PHD by CR chest radiography. In the diagnosis of PHD,the accuracy,sensitivity,specificity,and positive and negative predictive values of 12 lead ECG was 90. 24%,91. 89%,75. 00%,97. 14% and 50. 00%,respectively. ECG abnormalities were found in 68 out of 74 PHD patients by 12 lead ECG testing,mainly including pulmonary P wave,axis deviation,arrhythmia,low voltage,Ptf V1 abnormalities,ST-T segment changes and clockwise rotation.Conclusion The diagnostic accuracy,sensitivity and specificity of 12 lead ECG prove to be high for PHD. It has great value in making plans for diagnosis and treatment.
引文
[1]李倩,沈林,方妍,等.心电向量图与常规心电图对慢性肺源性心脏病患者临床诊疗价值[J].山西医药杂志,2016,45(22):2643-2645.
[2]王月文,王婷,孙更新,等.动态心电图对慢性肺源性心脏病的诊断价值分析[J].现代生物医学进展,2017,17(36):7128-7131.
[3]蔡茹丽.心电图与超声心动图诊断肺源性心脏病右心室肥大的价值对比[J].实用心脑肺血管病杂志,2014,22(5):126-127.
[4]李倩,沈林,方妍,等.心电向量图对慢性肺源性心脏病右心室肥厚与扩张的诊断研究[J].现代生物医学进展,2017,17(8):1524-1526.
[5]李玲,吕小勇,王文平,等.超声心动图检查对慢性肺源性心脏病患者右心功能的诊断价值[J].现代生物医学进展,2018,18(15):2946-2949.
[6]李蕊,张玉.超声联合十二导联心电图应用于肺源性心脏病早期诊断中的敏感性与特异性[J].河北医药,2017,39(8):1218-1221.
[7]曹薇,范荣梅.肺心病呼吸衰竭患者凝血功能及心电图变化特点及临床治疗效果的分析[J].血栓与止血学,2017,23(4):564-567.
[8]王丽丽.心电图和超声心动图检查对煤工尘肺并发肺心病患者的诊断和治疗的价值[J].职业与健康,2015,31(7):895-899.
[9]迟晔虹,赵苏云,段晓莉,等. 260例老年人心律失常心电图分析[J].实用心电学杂志,2016,25(2):129-131.
[10]李国境,才江平.心电图ST-T改变56例临床分析[J].宁夏医科大学学报,2016,38(6):720-722.
[2]王月文,王婷,孙更新,等.动态心电图对慢性肺源性心脏病的诊断价值分析[J].现代生物医学进展,2017,17(36):7128-7131.
[3]蔡茹丽.心电图与超声心动图诊断肺源性心脏病右心室肥大的价值对比[J].实用心脑肺血管病杂志,2014,22(5):126-127.
[4]李倩,沈林,方妍,等.心电向量图对慢性肺源性心脏病右心室肥厚与扩张的诊断研究[J].现代生物医学进展,2017,17(8):1524-1526.
[5]李玲,吕小勇,王文平,等.超声心动图检查对慢性肺源性心脏病患者右心功能的诊断价值[J].现代生物医学进展,2018,18(15):2946-2949.
[6]李蕊,张玉.超声联合十二导联心电图应用于肺源性心脏病早期诊断中的敏感性与特异性[J].河北医药,2017,39(8):1218-1221.
[7]曹薇,范荣梅.肺心病呼吸衰竭患者凝血功能及心电图变化特点及临床治疗效果的分析[J].血栓与止血学,2017,23(4):564-567.
[8]王丽丽.心电图和超声心动图检查对煤工尘肺并发肺心病患者的诊断和治疗的价值[J].职业与健康,2015,31(7):895-899.
[9]迟晔虹,赵苏云,段晓莉,等. 260例老年人心律失常心电图分析[J].实用心电学杂志,2016,25(2):129-131.
[10]李国境,才江平.心电图ST-T改变56例临床分析[J].宁夏医科大学学报,2016,38(6):720-722.