肺支气管病变患者R波递增不良时心电向量图及心脏超声改变的诊断价值

摘要

Objective To analyze the diagnostic value of vectorcardiogram and echocardiography in patients with pulmo-nary bronchiopathy with abnormal R wave increment,in order to provide evidence for early screening. Methods 107 patients with pulmonary and bronchial diseases such as pulmonary tuberculosis who were hospitalized in our hospital from August 2016 to August 2017 were selected. Among them,56 cases of right ventricular hypertrophy,33 cases of myocardial infarction,7 cases of normal,11 cases of other cases. All patients were examined with vectorcardiogram and echocardiography,and the results were analyzed. Re-sults Compared with the vectorcardiogram group and echocardiography group,there was a significant difference in the detection rate of right ventricular hypertrophy in the vectorcardiogram+echocardiography group(P＜0. 05),no significant difference in the detection rate of myocardial infarction(P＞0. 05). Conclusion The diagnosis of right ventricular hypertrophy in patients with pul-monary bronchiopathy such as pulmonary tuberculosis is valuable by combining vectorcardiogram and echocardiography.%目的 分析肺支气管病变患者R波递增不良时心电向量图及心脏超声改变的诊断价值,为早期筛查提供依据.方法 选取2016年8月至2017年8月我院住院符合肺结核等肺支气管病变诊断标准的107例患者,其中,右室肥大56例,心肌梗死33例,正常7例,其它11例.患者均行心电向量图及心脏超声检查,分析检查结果.结果 心电向量图+心脏超声组与心电向量图组及心脏超声右室肥大检出率比较差异有统计学意义(P＜0. 05).心电向量图+心脏超声组与心电向量图组及心脏超声比较心肌梗死检出率差异无统计学意义(P＞0. 05).结论 将心电向量图及心脏超声检查结合,对肺结核等肺支气管病变患者右室肥大的诊断有一定的价值.