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目的探讨在常规心电图检查的基础上,增加不同时间记录对儿童游走心律诊断率的影响。方法按常规心电图增加描记时间的不同,分为0~1 min(对照组)组和1~3 min、3~5 min、5~7 min、7~9 min(实验组)组,统计各组游走心律的诊断率并进行分析。结果常规心电图增加描记3~5 min组儿童游走心律检出例数占比最高(67.27%)。结论对于无器质性病变的儿童,若发现常规十二导联心电图上P波形态和(或)方向有改变者,应慎发异位心律失常报告,适当延长心电图描记时间多数可明确游走心律诊断。
OBJECTIVE: To investigate the effect of increasing the recording time of ambulatory heart rate on children walking based on routine electrocardiogram (ECG). Methods According to the difference of the time when electrocardiogram was increased, the patients were divided into 0 ~ 1 min (control group), 1 ~ 3 min, 3 ~ 5 min, 5 ~ 7 min, 7 ~ 9 min The walking rate of heart rate diagnosis and analysis. Results In the conventional electrocardiogram (ECG), the number of migratory heart rhythm detected in 3 ~ 5 min group was the highest (67.27%). Conclusion For children with no organic disease, if found on the routine 12-lead electrocardiogram P wave morphology and (or) direction of change should be cautious ectopic arrhythmia report, the appropriate extension of the majority of electrocardiogram trace time can be clearly walk Cardiac rhythm diagnosis.