标题：急性肺血栓栓塞症44例心电图分析

      作者：杨 艳，宋东兴
    （北京邮电大学医院内科，北京 100876）

      卷次： 2015年26卷2期

      【摘要】 目的 探讨急性肺血栓栓塞症的心电图特征。方法 回顾性分析确诊的44例急性肺血栓栓塞症患
者入院时及溶栓或抗凝治疗2~4周后的心电图变化。结果 入院时出现心电图改变42例(95.5%)，其中窦性心动
过速 33例(75.0%)，Tv1~2倒置 7例(15.9%)，Tv1~3倒置 15例(34.1%)，Tv1~6倒置 6例(13.6%)，ST段压低 23例
(52.3%)，SⅠQⅢTⅢ型11例(25.0%)，房性心律失常7例(15.9%)。溶栓或抗凝治疗2~4周后心电图恢复到大致正
常36例（81.8%）。结论 心电图有助于急性肺血栓栓塞症的诊断和溶栓或抗凝治疗后的疗效评价。

      【关键词】 急性肺血栓栓塞症；心电图；分析

      【中图分类号】 R543.1+3 【文献标识码】 A 【文章编号】 1003—6350（2015）02—0242—02


Electrocardiogram analysis in 44 cases with acute pulmonary thromboembolism.
YANG Yan, SONG Dong-xing.
Department of Internal Medicine, Hospital of Beijing University of Posts and Telecommunications, Beijing 100876, CHINA

【Abstract】 Objective To study the characteristics of electrocardiogram (ECG) of acute pulmonary thrombo-
embolism. Methods ECGs recorded at admission and two to four weeks after thrombolytic or anticoagulant thera-
pies in 44 patients with acute pulmonary thromboembolism were analyzed retrospectively. Results ECG changes
were found in 42 cases (95.5%) at admission, sinus tachycardia in 33 cases (75.0%), with T waves inversion in V1~2
in 7 cases (15.9%), T waves inversion in V1~3 in 15 cases (34.1%), T waves inversion in V1~6 in 6 cases (13.6%), ST
segment depression in 23 cases (52.3%), SⅠQⅢTⅢ pattern in 11 cases (25.0%), and atrial arrhythmia in 7 cases
(15.9%). It was two to four weeks after thrombolytic or anticoagulant therapies that ECG turned to being roughly nor-
mal in 36 cases (81.8%). Conclusion ECG contributes to the diagnosis of acute pulmonary thromboembolism and
therapeutic evaluation after thrombolytic or anticoagulant therapies.

      【Key words】 Acute pulmonary thromboembolism; Electrocardiogram; Analysis