急性肺栓塞的心电图表现与临床意义

摘要

The electrocardiography of acute pulmonary embolism often shows abnormalities such as sinus tachycardia, negative T wave, ST-segment alterations, S I Q M T HI, right bundle branch block, atrial arrhythmia, and pulmonary P wave. The understanding of the electrocardiographic manifestations is helpful for the diagnosis and treatment of pulmonary embolism. This review presents the electrocardiographic manifestations of acute pulmonary embolism and analyzes its clinical significance.%急性肺栓塞时可出现窦性心动过速、T波倒置、ST段移位、SIQⅢTⅢ、右束支传导阻滞、房性心律失常、肺型P波等多种心电图异常。正确掌握急性肺栓塞常见的心电图表现，有助于对急性肺栓塞作出及时的诊断和治疗。本文通过复习国内外相关文献，分析了各种心电图异常在急性肺栓塞诊断和治疗中的意义。