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| Effect of electrocardiogram checking on the emergency treatment in the primary hospital |
| XU Wei-Hong-1 , GAO Jian-2, YU A-Xin-3 |
| （1. Department of Electrocadiogram， the Peoples Hospital of Minquan，Shangqiu Henan 476000; 2. Central Hospital of Yellow River Conservancy Committee，Zhenzhou Henan 450003; 3. The Second Affiliated Hospital of Zhengzhou University， Zhengzhou Henan 450014， China） |
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Abstract Objective To discuss the effect of electrocardiogram checking on the emergency treatment in the primary hospital. Methods One thousand two hundred eighty nine emergency cases of electrocardiogram according to different symptom were divided and contrasted. The relationship between mainly changing of electrocardiogram and main symptom of the suffers was analyzed. Results For the acute coronary syndrome，patients who were suffered from chest pain，it was common to find ST-T change and abnormal Q-wave. For those who were suffered from periodic paralysis，vomiting and diarrhea，it was common to find hypokalemia. The patients with arrhythmia were mostly with syncope and palpitation. The relevance ratio of abnormal electrocardiogram in emergency treatment was 84.79%， in which ST-T change account for 36.16%，arrhythmia account for 37.00% and the other account for 11.63%， while the normal electrocardiogram account for 15.21%. Conclusion Emergency electrocardiogram checking is an important way to diagnosis and monitor because of its noinvasive and simple.
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| ［1］ Chan AW， Solankhi N， Webb JG，et al. Correlation of re- mote ST segment depression and coronary anatomy during acute coronary occlusion［J］.Can J Cardiol，2001，17（3）: 282-290. ［2］ Kosuge M，Kimura K，Ishikawa T，et al. New electrocardiographic criteria for predicting the site of coronary artery oc- clusion in inferior wall acute myocardial infarction［J］. Am J Cardiol，1998，82（11）:1318-1322. ［3］张文博.ST段抬高型心电图心肌梗死的新分类方法［J］.中国医学论坛报，2004，7（1）:14. ［4］马万森.急性肺动脉栓塞［J］.临床心电学杂志，2009，18（4）:291-296. |
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2012, Vol. 21 
