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目的:了解格尔木地区(海拔2 808m)心电图检查中的心律失常种类,探讨高原低氧低气压环境和气候特点下高原特发疾病和心律失常的关系。方法:统计分析我院2008年1月—2009年12月期间门诊及住院患者心电图检查2 650例,其中885例心电图资料表现为不同的心律失常,所用仪器为北京福田电子FX-4010十二导联同步心电图机,标准十二导联心电图描记。结果:2 650例中检出885例心电图表现出不同类型的心律失常,由高到低依次为窦性心律失常454例,占51.30%,传导阻滞166例,占18.76%,主动性异位心律124例,占14.01%,传导径路异常(预激综合征)43例,占4.86%,及其他心律失常11.08%。结论:高原低氧低气压环境对心律失常有特殊影响,对心肌自律性、兴奋性及传导性均有不同程度的影响,高原特发疾病与心律失常有着密切的关系。
Objective: To understand the types of arrhythmia in electrocardiogram (ECG) in Golmud (elevation of 2 808 m) and to explore the relationship between plateau idiopathic disease and arrhythmia under the conditions of hypoxia and hypobaric environment and climate. Methods: Statistical analysis of our hospital from January 2008 -2009 in December period outpatients and inpatients electrocardiogram examination of 2 650 cases, of which 885 cases of ECG showed different arrhythmia, the instrument used for the Beijing Futian Electronics FX-4010 twelve guide Synchronous ECG machine, standard 12 lead ECG. Results: 885 ECGs of 2 650 cases showed different types of arrhythmia. From high to low, 454 cases of sinus arrhythmia, accounting for 51.30%, 166 cases of conduction block (18.76%), active ectopic 124 patients (14.01%) had heart rhythm, 43 patients (4.86%) had abnormal conduction pathway (WPW syndrome), and 11.08% had other arrhythmia. CONCLUSION: The plateau hypoxia and hypobaric environment has a special impact on arrhythmia, which has different degrees of self-discipline, excitability and conductivity. The etiopathogenisis is closely related to arrhythmia.