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Pulmonary Embolism Electrocardiogram Characteristic and Analysis

Author: ZhangZuo
Tutor: LiuJun
School: Dalian Medical University
Course: Internal Medicine
Keywords: Pulmonary thromboembolism Acute crown arteries syndrome ECG
CLC: R563.5
Type: Master's thesis
Year: 2011
Downloads: 10
Quote: 0
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Abstract


Objective:Through to the pulmonary embolism (PTE) patient’s factor, the clinical manifestation and the auxiliary inspection easily and so on clinical material’s research, mainly the electrocardiogram (ECG) ’s the characteristic, analyzes the primary cause which on the heart internal medicine department misdiagnoses.Methods:From January, 2005 to January, 2010,the review collects my courtyard to pant by the chest, the scant of breath, to faint stuffily successively, principal claims and so on hemoptysis, chest pain, palpitation receive my courtyard heart internal medicine ward. Age is between 36 to 79 years old. In hospital period the diagnosis is clear by CT pulmonary artery radiography (CTPA) and the coronarography. All patient’s clinical symptoms ,signs,and relevant laboratory tests including ECG, arterial blood gas, the D- dimer,chest X-ray and echocardiography were collected.Mainly lth and 24 hour in ECG carry on the analysis in hospital time. Statistics processing: Measurement material by mean value±standard deviation expression.And the counting material by leads (%) to express.Results:1. The PTE explicit factor easily is easier to consider the PE diagnosis.when it merges internal medicine department illness, not explicit factor gets leak examines.2. The PTE clinical manifestation is diverse and lacks the specificity. Simultaneously it has rarely the typical trigeminy to draft. The chest pants stuffily into the error diagnostic acute crown arteries syndrome primary cause.3.ECG, arterial blood gas, the D-dimer,chest X-ray and echocardiography are low to the PTE diagnosis specificity, and should carry on the generalized analysis.4. 45 PTE patient ’s ECG Include the normal 5 examples account for 11.11% and exceptionally 40 examples account for 88.89%. And.The rate of P pulmonale, SIQⅢTⅢ,right bronch block and preeardial T wave inversion is 62.22%Conclusions:1.ECG is one kind of convention, the simplicity of operator, not creates the inspection, has the very good clinical value to the PTE screening.2 . As a result of the PTE clinical manifestation’s non-specificity and the cardiovascular disease’s similarity, regarding by the unknown cause scant of breath and or chest pain income heart internal medicine ward’s patient, cannot use ACS to explain that should be vigilant PTE to be possible, as soon as possible line of related inspection.

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CLC: > Medicine, health > Internal Medicine > Respiratory system and chest diseases > Pulmonary disease > Pulmonary embolism
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