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1 536 cases of fracture ECG analysis |
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Abstract Objective To observe the ECG(electrocardiogram)change characteristics of fracture patients. Methods Made retrospective 1536 cases of fracture ECG analysis. Results ① 446 fracture patients had abnormal electrocardiogram,total incidence rate is 29%. The abnormal electrocardiogram had 476 records,among which 223 records appeared cardiac arrhythmia(accounted for 46.8%),128 records appeared ST-T change(accounted for 38.2%), 18 records appeared LVH(Left Ventricular Hypertrophy)with consequental ST-T change,40 records appeared left ventricular high voltage(accounted for 8.4%) while others accounted for 2.6%.② The combined injury patients(fractured over two places)showed the highest occurrence rates of abnormal ECG,secondly it is head and neck,chest and abdomen and limb.③ The abnormal ECG rate of the patients whose age is under 20,20-44,41~60 and over 61 is 12.7%,16. 5%,31. 8% and 71.4 %,respectively. The abnormal ECG rate of the pa- tients whose age over 61 is 71.4%,and the abnormal ECG rate of the patients whose age over 60 is 20. 3%,there was obvious difference in age between two groups(P <0.05),the occurrence rate of abnormal ECG increases with the growing age. Conclusion The stress reaction caused by the fracture can be showed as ECG change,the abnormal ECG is relative with the injury site,state of injury,age and patients condition to a certain extent.
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