摘要
为探讨T波倒置对冠心病诊断的临床意义,收集静息心电图T波倒置的149例患者,分析病因构成比,进行对称性与非对称性T波倒置病因构成的比较,观察其中冠心病患者心电图特点。结果发现冠心病占所有病因的41.60%,与T波非对称组相比,在T波对称组中,冠心病多见(P<0.01),与非冠心病组相比,对称性与非对称性T波倒置冠心病患者均伴有较多的T波动态演变(P<0.01)。因此,T波倒置以冠心病多见,冠心病多表现为对称性T波倒置,无论对称性还是非对称性T波倒置,仅在伴有T波动态演变时对冠心病诊断有临床意义。
To investigate the clinical significance of the diagnosis of coronary heart disease （CHD） with T wave inversion, the authors collected 149 patients that resting electrocardiogram with T wave inversion, analyzed its constituent ratio of different diseases, compared constitute of pathogenesis between symmetrical and asymmetrical T wave inversion and observed electrocardiogram characteristics in CHD. CHD accounted for 41. 6% of all pathogenesis, compared with asymmetrical group, in symmetrical group, most were CHD （P〈0.01）, compared with non CHD group, in CHD group, symmetrical and asymmetrial T wave inversion most have dynamic evolution （P〈0.01）. Therefore, T wave inversion is most visible in CHD, T wave inversion of CHD was most symmetrical, whether symmetrical or asymmetrial T wave inversion, only when accompanied with dynamic evolution, to diagnose CHD have clinical application value.
出处
《医学与哲学（B）》
2017年第5期37-40,共4页
Medicine & Philosophy(B)
关键词
冠心病
心电图
T波倒置
coronary heart disease, electrocardiogram, T wave inversion
