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阻塞性肺气肿心电图五联征

THE ELECTROCARDIOGRAPHIC PENTALOGY OF OBSTRUCTIVE PULMONARY EMPHYSEMA

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【作者】 姚金澜; 王雁; 肖萍; 黄志英; 王淑华; 黄德丽;

【Author】 Yao Jin Lan Department of Internal Medicine, Tong Ren Hospital. Huang Zhi Ying Department of Internal Medicine, The 4 th Beijing Municipal Hospital

【机构】 北京同仁医院内科呼吸组; 北京第四医院内科心电图室; 北京第四医院内科心电图室;

【摘要】 从临床上已确诊为慢性阻塞性肺气肿的100例心电图中,分析得出最常见的五项表现为:PavL倒置、肢导低电压、Ⅱ.Ⅲ.avF图形酷似、P额轴接近垂直(≥+80°)、肺P,合称之为五联征。另收集100例内科门诊病人心电图具备有五联征内容者,询问病史、进行X线胸透,发现当具备有五联征中之三项以上时,诊断符合率超过80%。

【Abstract】 An analysis of 100 cases of obstructive pulmonary emphysema in middle to old aged persons showed that the most commonly occurred electrocardiographic findings were 1) inversion of PavL, 2) low voltages of QRS in limb leads, 3) close resemblance of Ⅱ. Ⅲ avF, 4) vertical or nearly vertical P frontal axis, and 5) pulmonary PFor testing of diagnostic reliability of this electrocardiographic pentalogy, another 100 cases of respiratory patients of mostly middle aged males who had either any or all of the pentalogy in their EGGs were collected and studied. Data showed that in those who presented more than three of the fives on their EGGs in one time, a diagnostic congruity with positive chest X-ray findings and a COPD past history reached as high as 80%.

  • 【文献出处】 北京医学 ,Beijing Medical Journal , 编辑部邮箱 ,1980年05期
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