李志洪

【摘要】 目的：探讨心律失常应用心电散点图进行快速诊断的临床价值。方法：回顾性分析笔者所在医院120例体检患者临床资料，并采用动态心电图记录仪记录受检对象24 h心电信号，然后再利用计算机自动检测技术对患者心电情况进行分析，绘制患者24 h心电散点图。将心电散点图诊断结果与临床诊断结果进行比较和分析。结果：室上性早搏诊断符合率96.43%（27/28），室性早搏诊断符合率89.29%（25/28），心房颤动诊断符合率100%（9/9），差异传导诊断符合率80%（4/5）。室上性早搏组和室性早搏组的斜率分别与其他组相比较，差异有统计学意义（P<0.05），心房颤动组与差传组的斜率相比较，差异无统计学意义（P>0.05）。结论：心电散点图应用于心律失常快速诊断中具有较高临床价值，应用简单快捷，图形直观，尤其对室性早搏、室上性早搏、心房颤动和差异传导的诊断上优势明显。

【关键词】 心电散点图； 快速诊断； 心律失常； 诊断

doi：10.14033/j.cnki.cfmr.2018.24.015 文献标识码 B 文章编号 1674-6805（2018）24-00-03

Value Analysis of ECG Scatter Plot in Rapid Diagnosis of Arrhythmia/LI Zhihong.//Chinese and Foreign Medical Research，2018，16（24）：-34

【Abstract】 Objective：To investigate the clinical value of rapid diagnosis of cardiac arrhythmia using ECG scattergram.Method：The clinical data of 120 cases of physical examination in our hospital were retrospectively analyzed.The electrocardiogram of 24 hours was recorded with a dynamic electrocardiogram recorder.Then the electrocardiogram of patients was analyzed by computer automatic detection technology.The 24 hours electrocardiogram scatter plot was drawn.According to the results of diagnosis，the results were compared.Result：The diagnostic coincidence rate of supraventricular premature beat was 96.43% （27/28），and the coincidence rate of premature ventricular contractions was 89.29% （25/28）.The coincidence rate of atrial fibrillation was 100%（9/9），and the rate of differential conduction diagnosis was 80%（4/5）.The supraventricular premature beats and ventricular premature beats were significantly different from those in the other groups（P<0.05）.There was no significant difference between the atrial fibrillation group and the difference group（P>0.05）.Conclusion：The electrocardiogram scatter plot has high clinical value in the rapid diagnosis of arrhythmia.It is simple and quick to apply，and the graphics are intuitive，especially for the diagnosis of ventricular premature beats，supraventricular premature beats，atrial fibrillation and differential conduction.

【Key words】 ECG scatter plot； Rapid diagnosis； Arrhythmia； Diagnosis

First-authors address：The 174th Hospital of the Chinese Peoples Liberation Army，Xiamen 361000，China

心血管疾病是當今世界威胁人类健康的主要疾病之一，随着社会的不断进步和人们生活水平的逐渐提高，全球每年新发心血管疾病人数不断增加。心血管疾病具有较高致死率和致残率，其中心源性猝死是人类死亡的主要因素，给人们生活质量造成极大影响[1]；严重性心律失常是导致患者发生心源性猝死的主要原因，部分患者于院外出现胸闷、心悸和头晕等症状，但多数为一过性或阵发性，当患者就诊时不适症状已停止[2]。临床应用常规十二导联心电图诊断具有一定价值，该方法操作简单，但仅能捕捉几秒内心电信息或仅能检测患者数个心动周期变化，从而致诊断准确率较低，极易发生漏诊，影响患者预后。……