儿童右束支传导阻滞298例临床分析

发布时间：2018-05-22 20:21

本文选题：束支传导阻滞 + 右束支　；参考：《中国实用儿科杂志》2017年05期

【摘要】：目的对儿童心电图表现有右束支传导阻滞图形者进行临床分析,为临床诊治提供参考。方法结合门诊及住院各项辅助检查等资料,对2014年在成都市第一人民医院和四川大学华西第二医院进行心电图检查出现右束支阻滞患儿的年龄分布、病因分布及合并其他阻滞情况行统计分析。结果儿童不完全右束支阻滞和完全右束支阻滞在年龄分布上差异有统计学意义(P0.05)。儿童不完全右束支阻滞病例来源主要为先天性房间隔缺损患儿(38.85%),其次为先天性室间隔缺损经介入封堵术后患儿(30.77%);完全右束支阻滞病例来源主要为室间隔缺损封堵术后患儿(占42.11%)。不完全右束支阻滞和完全右束支阻滞主要以单纯束支阻滞图形为主(占73.15%),其次为合并左前分支阻滞(占22.15%)。结论正常儿童心电图可出现不完全右束支传导阻滞,但若出现完全右束支阻滞多合并心脏或肺部疾患,应结合其他临床辅助检查结果进一步诊治。
[Abstract]:Objective to analyze children with right bundle branch block pattern in electrocardiogram (ECG), and to provide reference for clinical diagnosis and treatment. Methods the age distribution of children with right bundle branch block after electrocardiogram examination in the first people's Hospital of Chengdu and the second Hospital of West China of Sichuan University in 2014 were analyzed. The distribution of etiology and other complications were analyzed statistically. Results there were significant differences in age distribution between incomplete right bundle branch block and complete right bundle branch block in children (P 0.05). The main sources of incomplete right bundle branch block in children were congenital atrial septal defect (CHD) 38.85, followed by congenital ventricular septal defect after interventional closure, and complete right bundle branch block mainly came from children after ventricular septal defect closure (42.11). Incomplete right bundle branch block and complete right bundle branch block were mainly composed of simple bundle branch block pattern (73.15%), followed by left anterior branch block (22.15%). Conclusion incomplete right bundle branch block can occur in normal children's electrocardiogram, but if complete right bundle branch block is more complicated with heart or lung diseases, it should be further diagnosed and treated with other clinical auxiliary examination results.
【作者单位】：成都市第一人民医院;四川大学华西第四医院;四川大学华西第二医院;
【分类号】：R725.4

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