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在慢性肺心病诊断中,心向量图的应用日益广泛。但诊断标准各家意见不一,诊断准确性也待提高。1977年我们根据121例肺气肿,肺心病患者的心向量图所见描述了肺气肿、肺心病心向量图特征,对早期诊断作了初步探讨(称前文)。本文分析131例肺气肿、可疑肺心病、肺心病患者的心向量图表现,并与心电图、X线、超声心动图检查结果作对照。本文的目的是在前文基础上对早期诊断指标再次探讨,并对1977年全国第二次肺心病专业会议的制订心向量图诊断指标进行讨论。
In the diagnosis of chronic pulmonary heart disease, the application of cardiac vector chart is more and more widely. However, different diagnostic criteria of different opinions, diagnostic accuracy also needs to be improved. In 1977 we based on 121 cases of emphysema, pulmonary heart disease in patients with cardiac vector map describes the emphysema, pulmonary heart disease vector chart features, made a preliminary diagnosis of early diagnosis (previously mentioned). This article analyzes the 131 cases of emphysema, suspicious pulmonary heart disease, pulmonary heart disease in patients with cardiac vector chart performance, and with electrocardiogram, X-ray, echocardiography test results for control. The purpose of this article is to revisit the early diagnostic indicators on the basis of the previous article, and to discuss the preparation of the diagnostic criteria of the cardiac vector chart for the Second National Conference of Pulmonary Heart Disease in 1977.