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本文对36例主诉心前区不适,包括胸闷、胸痛、心悸或者心慌等症状,而常规心电图正常的患儿,进行了动态心电图监测。结果每例患儿均存在1种以上不同程度的心律失常。检出有临床意义的频发室上性早搏3例,频发室性早搏2例,PSVT 1例,阳性发现率为16.7％(6/36例)。经相应治疗,心前区不适等症状得以缓解或消失。此外,通过监测对一些有症状而结果基本正常的患儿可消除其忧虑。因此,对心前区不适的患儿,有必要作Holter心电图筛查。
In this paper, 36 patients complained of precordial discomfort, including chest tightness, chest pain, palpitations or palpitation and other symptoms, and conventional electrocardiogram in children with normal ECG monitoring. Results Each patient had more than one kind of different degree of arrhythmia. Three clinically significant cases of premature supraventricular premature beats, two cases of frequent premature ventricular contractions, and one PSVT were detected, the positive rate was 16.7% (6/36). The corresponding treatment, precordial discomfort and other symptoms can be alleviated or disappeared. In addition, anxiety can be eliminated by monitoring children with symptomatic outcomes that are generally normal. Therefore, the precordial discomfort in children, it is necessary for Holter ECG screening.