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频谱心电图检查在儿童心肌炎诊断中的应用
THE VALUE OF FREQUENCY CARDIOGRAM IN DIAGNOSISOF CHILDREN WITH MYOCARDITIS
【摘要】 目的:分析心电图和频谱心电图检查在儿童心肌炎诊断中的临床价值。方法:临床拟诊心肌炎病儿515例,采用Wilson连接方式,分别做心电图和频谱心电图。应用北京美高仪软件技术有限公司研制、生产的ECG-LAB2.0Gold型心电综合分析系统进行分析。结果:心电图和频谱心电图同时异常者69例(13.4%);心电图(ECG)异常者79例(15.3%);频谱心电图(FCG)异常者195例(37.8%);频谱心电图的异常率大于心电图的异常率(P<0.05)。心电图和频谱心电图异常者最终确诊为心肌炎的86例,其中10例为心电图正常而频谱心电图异常者.结论:频谱心电图对心肌炎的早期诊断比心电图更敏感,可避免部分心肌炎的误诊诊断,但有一定的假阳性。
【Abstract】 Objective:To analyse the clinical value of electrocardiogram (ECG) and the frequency cardiogram (FCG)in diagnosis of children with myocarditis. Methods:The electrocardiogram (ECG) and the frequency cardiogram(FCG)separately with wilson connection were analyzed by ECG-LAB 2.0Gold electrocardiac analyzing system made in Bejing Meigaoyi software tech. co.Ltd, in 515 children with myocarditis diagnesed clinically Results :there are 79 abnormal cases in ECG(15.3%)and there are 195 abnormal cases in FCG(37.8%). Both the abnormity in ECG and FCG were 63cases(13.5%). The abnormoly rate in FCG is higher that in ECG(P<0.05). The abnormal cases diagnosed finally as myocarditis are 86 cases in ECG and FCG. 10 cases were normal in ECG but abnormal in FCG. Conclusion:The FCG is more sensitive than the ECG in early diagnosis of myocarditis, can avoid missing diagnosis for part myocarditis, but there are some unreal positive cases.
【Key words】 ECG; FCG; children; myocarditis; electrocardiophysiology;
- 【文献出处】 现代电生理学杂志 ,Journal of Modern Electrophysiology , 编辑部邮箱 ,2012年01期
- 【分类号】R725.4
- 【被引频次】1
- 【下载频次】81