实用心电学杂志2016，Vol.25Issue(3)：193-195,200,4.DOI:10.13308/j.issn.2095-9354.2016.03.008
心电图初步诊断恶性心包积液的临床价值
Clinical value of ECG in presumptive diagnosis of malignant pericardial effusion
摘要
Abstract
Objective To explore the clinical value of ECG in presumptive diagnosis of malig-nant pericardial effusion.Methods Retrospective analysis was performed on 1 49 malignant tumor patients complicated with pericardial effusion.The etiology distribution of pericardial effusion was observed and ECG changes were analyzed.Results The patients with lung cancer,mammary canc-er and lymphadenoma accounted for the majority of the 1 49 cases.Compared with the patients with benign pericardial effusion,the detection rates of nodal tachycardia,low voltage in chest/full leads and ST-T changes were significantly higher in the cases with malignant pericardial effusion,with sta-tistically significant differences(P <0.01 ).Conclusion The above ECG changes in primary tumor patients strongly suggest complicated malignant pericardial effusion.Other imaging data such as ul-trasonic cardiogram or CT should be combined with ECG for further diagnosis.关键词
心电图/恶性心包积液/恶性肿瘤Key words
electrocardiogram/malignant pericardial effusion/malignant tumor分类
医药卫生引用本文复制引用
黄瑞燕,韩峰..心电图初步诊断恶性心包积液的临床价值[J].实用心电学杂志,2016,25(3):193-195,200,4.基金项目
广东省科学技术基金资助项目 （）
