| 摘要: |
| 目的探讨心电散点图在动态心电图中诊断室上性心律失常的价值。方法选择2014年1月至2015年12月在我医院门诊就诊及住院病例动态心电图数据573例,通过动态心电图软件绘制散点图,对动态心电图结果与散点图诊断进行比较、分析。结果在573例病例中,三分布456例,其中B线斜率在(0.47±0.15)的447例,符合率98%;四分布53例,B线斜率在(0.28±0.11)的48例,符合率90%。一分布扇形58例,诊断心房颤动58例,符合率100%;扇形合并内部格子状有序多分布1例,诊断心房颤动合并心房扑动,符合率100%;扇形合并棒球拍复合图形2例,诊断窦性心律、阵发性心房颤动,符合率100%。格子状有序多分布2例,诊断心房扑动,符合率100%。"倒Y字形"分布1例,诊断房性并行心律,符合率100%。结论利用心电散点图可快速诊断室上性心律失常,对复杂室上性心律失常的诊断更为快捷准确,可以提高诊断符合率,降低漏诊率,值得临床进一步推广研究。 |
| 关键词: 散点图 室上性 心律失常 |
| DOI： |
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| Value of Scattergram in Dynamic Electrocardiogram for Diagnosis of Supraventricular Arrhythmias |
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Liu Mengchun;Chen Xiuying;He Hui
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Ziyang City First People’s Hospital,ECG room
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| Abstract: |
| Objective To evaluate the value of scattergram in dynamic electrocardiogram.in the diagnosis of supraventricular arrhythmia Methods The dynamic ECG data of 573 cases,who were outpatients or hospitalized patients at the First People’s Hospital of Ziyang City from January 2014 to December 2015,wasselected. Drawing a scatter plot with dynamic electrocardiographic software and the dynamic electrocardiographic results were compared with the scattergrams diagnosis. Results Of all the 573 cases,456 cases werethree distributions and 447 caseshad a B line of(0. 47 ± 0. 15) in it. The coincidence rate was 98%. 53 cases were four distributions,and 48 cases had a B line of(0. 28±0. 11) in it. The coincidence rate was 90%. 58 cases were one distribution,fan-shaped,and all were the diagnosis of atrial fibrillation,the coincidence rate was 100%. 1 case was fan-shaped combined with internal lattice-like orderly distribution,the diagnosis was atrial fibrillation combined with atrial flutter and thecoincidence rate was 100%. 2 cases were fan combined with baseball racket-shaped graph,the diagnosis was sinus rhythm,paroxysmal atrial fibrillation and the coincidence rate was 100%. 2 cases were lattice-like distributions,the diagnosis was atrial flutter and thecoincidence rate was 100%. 1 case was "inverted Y-shaped"distribution,the diagnosis was atrial arrhythmiaand the coincidence rate was100%. Conclusion The use of ECG scatter can be a rapid methodfor diagnosing ventricular arrhythmias,making the diagnosis of complex supraventricular arrhythmias more accurate and accurate,which can improve the coincidence rate and reduce the rate of missed diagnosis. It is worthy of further clinical research. |
| Key words: scatterplot supraventricular arrhythmia |
